Family Dental Care

Family Dental Care was paid $98K by Medicaid between Jan 2018 and Apr 2022, across 17 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 34% of everything it billed.

33Billing provider infoFAMILY DENTAL CARE
LEBANON, OH 45036

33aNPI1821394180assigned 02/03/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$98K

24GClaims3,312

24DCodes billed17

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#327 of 870

Median peer was paid$40K

This provider vs. median2.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	831	$19K
2019	787	$24K
2020	1,657	$54K
2021	24	$409.92
2022	13	$222.04

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	34%	597	221	$33K
D1110	Prophylaxis - adult	18%	556	523	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	844	794	$13K
D0210	Intraoral - complete series of radiographic images	11%	202	190	$11K
D0274	Bitewings - four radiographic images	4.8%	260	246	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.7%	90	51	$5K
D0150	Comprehensive oral evaluation - new or established patient	3.4%	127	126	$3K
D1208	Topical application of fluoride, excluding varnish	2.4%	155	141	$2K
D0140	Limited oral evaluation - problem focused	2.1%	98	97	$2K
D1120	Dental cleaning, childProphylaxis - child	1.8%	88	84	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	1.1%	22	20	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.1%	17	13	$1K

5 more codes

D1320		<1%	48	$705.00
D0220	Intraoral - periapical first radiographic image	<1%	139	$659.00
D2140		<1%	15	$600.00
D0272	Bitewings - two radiographic images	<1%	31	$310.00
D0230	Intraoral - periapical each additional radiographic image	<1%	23	$105.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKHAKSARFARD, ALI (CEO)

Same official

Other billing entities under KHAKSARFARD, ALI

Full network →

Provider	Location	Paid
Family Dentistry	Urbana, OH	$388K
Family Dental Care in Marysville	Marysville, OH	$23K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.