FAMILY FIRST DENTAL OF PRIMGHAR, P.C.

NPI: 1912161944 · LAKE CITY, IA 51449 · General Practice Dentistry · NPI assigned 07/18/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more

$46K

Total Medicaid Paid

2,088

Total Claims

1,942

Beneficiaries

Codes Billed

2018-01

First Month

2019-08

Last Month

Provider Details

Authorized Official	SKOGLUND, CHARLES (OWNER)
NPI Enumeration Date	07/18/2008

Other providers sharing the same authorized official: SKOGLUND, CHARLES

Provider	City	State	Total Paid
FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.	SAC CITY	IA	$393K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	STORM LAKE	IA	$323K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	GRAND ISLAND	NE	$191K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	SIOUX CITY	IA	$171K
FAMILY FIRST DENTAL ASSOCIATES OF IOWA, P.C.	SIOUX CITY	IA	$167K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	LE MARS	IA	$163K
FAMILY FIRST DENTAL ASSOCIATES OF COLUMBUS, P.C.	COLUMBUS	NE	$123K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	HAWARDEN	IA	$115K
FAMILY FIRST DENTALASSOCCIATES OF WEST POINT, P.C.	FREMONT	NE	$63K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	ONAWA	IA	$59K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	SOUTH SIOUX CITY	NE	$42K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.	HARTINGTON	NE	$40K
FAMILY FIRST DENTAL ASSOCIATES OF HICKMAN, P.C.	HICKMAN	NE	$31K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.	WAYNE	NE	$15K
FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.	LAKE VIEW	IA	$14K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, PC	NORFOLK	NE	$7K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, P.C.	NORFOLK	NE	$1K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	DAKOTA CITY	NE	$218.25

Year	Claims	Total Paid
2018	1,329	$31K
2019	759	$15K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	503	497	$10K
D1206	Topical application of fluoride varnish	562	550	$9K
D1110	Prophylaxis - adult	217	215	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	109	64	$8K
D1120	Prophylaxis - child	160	154	$4K
D0220	Intraoral - periapical first radiographic image	167	167	$2K
D0274	Bitewings - four radiographic images	58	58	$2K
D0230	Intraoral - periapical each additional radiographic image	140	71	$1K
D0140	Limited oral evaluation - problem focused	45	44	$1K
D0150	Comprehensive oral evaluation - new or established patient	44	42	$1K
D0210	Intraoral - complete series of radiographic images	14	12	$460.53
D0603		55	55	$265.00
D0272	Bitewings - two radiographic images	14	13	$230.44