Dental
Familia Dental Madison East LLC
Familia Dental Madison East LLC was paid $5.88M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D1351, Sealant - per tooth — 9.5% of everything it billed.
33Billing provider infoFAMILIA DENTAL MADISON EAST LLC
MADISON, WI 53704
MADISON, WI 53704
33aNPI1821451428assigned 03/31/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$5.88M
24GClaims280,666
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#6 of 208
Median peer was paid$26K
This provider vs. median227×
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 | 41,116 | $740K | |
| 2019 | 32,345 | $618K | |
| 2020 | 36,538 | $541K | |
| 2021 | 39,089 | $603K | |
| 2022 | 45,521 | $1.15M | |
| 2023 | 38,651 | $1.00M | |
| 2024incomplete | 47,406 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 9.5% | 26,470 | 2,580 | $559K |
| D1110 | Prophylaxis - adult | 8.7% | 18,147 | 16,842 | $510K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 8,153 | 5,376 | $456K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 9,629 | 5,493 | $417K |
| D1206 | Topical application of fluoride varnish | 6.8% | 30,173 | 27,872 | $399K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 18,644 | 17,030 | $382K |
| D0274 | Bitewings - four radiographic images | 6.3% | 20,752 | 19,300 | $370K |
| D8670 | Periodic orthodontic treatment visit | 6.1% | 2,764 | 2,379 | $356K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 36,953 | 33,643 | $293K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 12,435 | 11,386 | $278K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 16,559 | 15,542 | $258K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 10,560 | 9,630 | $204K |
27 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 35,417 | $202K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 5,112 | $191K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 1,958 | $164K |
| D0330 | Panoramic radiographic image | 2.7% | 5,628 | $160K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 1,866 | $134K |
| D0272 | Bitewings - two radiographic images | 1.8% | 7,808 | $108K |
| D8660 | 1.2% | 776 | $70K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 1.1% | 88 | $63K |
| D4355 | <1% | 622 | $41K | |
| D0470 | <1% | 630 | $38K | |
| D0340 | <1% | 852 | $38K | |
| D4346 | <1% | 439 | $37K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 791 | $31K |
| D0350 | <1% | 771 | $22K | |
| D2335 | <1% | 233 | $18K | |
| D2332 | <1% | 251 | $17K | |
| D2330 | <1% | 397 | $10K | |
| D5110 | <1% | 32 | $10K | |
| D2331 | <1% | 278 | $9K | |
| D0270 | <1% | 1,277 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 368 | $5K |
| D8680 | <1% | 16 | $5K | |
| D2394 | <1% | 64 | $5K | |
| D7250 | <1% | 68 | $4K | |
| D9110 | <1% | 145 | $3K | |
| D2940 | <1% | 26 | $581.44 | |
| D1999 | 0% | 3,514 | $0.00 |
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 officialTELLEZ, IVONNE (ENROLLMENT TEAM LEAD)