FAMILIA DENTAL LUBBOCK PLLC

NPI: 1902126774 · LUBBOCK, TX 79401 · General Practice Dentistry · NPI assigned 06/03/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more

$2.06M

Total Medicaid Paid

109,651

Total Claims

83,569

Beneficiaries

Codes Billed

2020-02

First Month

2024-12

Last Month

Provider Details

Authorized Official	TAYLOR, BRANDON (CREDENTIALING &PAYER RELATIONS MANA)
NPI Enumeration Date	06/03/2010

Other providers sharing the same authorized official: TAYLOR, BRANDON

Provider	City	State	Total Paid
FAMILIA DENTAL RACINE LLC	RACINE	WI	$17.95M
FAMILIA DENTAL WEST GREEN BAY	GREEN BAY	WI	$15.05M
FAMILIA DENTAL GREEN BAY EAST LLC	GREEN BAY	WI	$13.16M
FAMILIA DENTAL EVANSVILLE LLC	EVANSVILLE	IN	$9.76M
FAMILIA DENTAL FORT WAYNE PLLC	FORT WAYNE	IN	$8.72M
FAMILIA DENTAL MKEMITCHELL LLC	MILWAUKEE	WI	$8.49M
FAMILIA DENTAL JANESVILLE LLC	JANESVILLE	WI	$5.77M
FAMILIA DENTALCLOVIS LLC	CLOVIS	NM	$5.67M
FAMILIA DENTAL ROS LLC	ROSWELL	NM	$5.59M
FAMILIA DENTAL HOB LLC	HOBBS	NM	$4.89M
FAMILIA DENTAL LAS CRUCES LLC	LAS CRUCES	NM	$4.68M
FAMILIA DENTAL SPFW PLLC	FORT WAYNE	IN	$4.45M
FAMILIA DENTAL ESP LLC	ESPANOLA	NM	$4.13M
FAMILIA DENTAL KENOSHA LLC	KENOSHA	WI	$3.66M
FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC	INDIANAPOLIS	IN	$3.28M
FAMILIA DENTAL INDIANAPOLIS AVONDALE, LLC	INDIANAPOLIS	IN	$2.86M
FAMILIA DENTAL TERRE HAUTE LLC	TERRE HAUTE	IN	$2.75M
FAMILIA DENTAL RIVER GLEN LLC	MILWAUKEE	WI	$2.73M
FAMILIA DENTAL DAVENPORT LLC	DAVENPORT	IA	$2.66M
FAMILIA DENTAL CARLSBAD LLC	CARLSBAD	NM	$2.55M

Code	Description	Claims	Beneficiaries	Total Paid
D1351	Sealant - per tooth	15,602	2,017	$332K
D1110	Prophylaxis - adult	5,661	5,168	$255K
D0120	Periodic oral evaluation - established patient	9,327	8,438	$227K
D1120	Prophylaxis - child	6,754	6,020	$202K
D0145	Oral evaluation for a patient under three years of age	1,546	1,463	$193K
D0274	Bitewings - four radiographic images	6,069	5,500	$163K
D1208	Topical application of fluoride, excluding varnish	11,373	10,271	$139K
D0220	Intraoral - periapical first radiographic image	12,676	11,232	$123K
D0230	Intraoral - periapical each additional radiographic image	14,563	10,936	$120K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,247	703	$110K
D0272	Bitewings - two radiographic images	4,886	4,296	$93K
D0150	Comprehensive oral evaluation - new or established patient	3,149	2,764	$83K
D2391	Resin-based composite - one surface, posterior, primary or permanent	149	85	$10K
D1206	Topical application of fluoride varnish	443	422	$6K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	32	27	$3K
D0330	Panoramic radiographic image	195	175	$3K
D8670	Periodic orthodontic treatment visit	360	224	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	12	12	$323.24
D0170		18	18	$281.18
D0140	Limited oral evaluation - problem focused	12	12	$215.58
D0603		11,240	10,188	$0.02
D0602		3,101	2,818	$0.00
D0601		140	123	$0.00
D1999		1,096	657	$0.00