Clinic
Chillicothe Family Dental, LLC
Chillicothe Family Dental, LLC was paid $948K by Medicaid between Feb 2019 and Dec 2024, across 26 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoCHILLICOTHE FAMILY DENTAL, LLC
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
33aNPI1912477977assigned 12/03/2018
33bProvider typeDental Clinic/Center
28Total paid$948K
24GClaims31,920
24DCodes billed26
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#34 of 111
Median peer was paid$236K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2019 | 3,436 | $105K | |
| 2020 | 8,470 | $267K | |
| 2021 | 10,252 | $293K | |
| 2022 | 8,055 | $208K | |
| 2024incomplete | 1,707 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 4,058 | 4,040 | $148K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,527 | 6,493 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 1,249 | 834 | $74K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 969 | 621 | $65K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 4,035 | 4,012 | $62K |
| D2394 | 6.3% | 757 | 488 | $60K | |
| D0274 | Bitewings - four radiographic images | 6.3% | 2,846 | 2,835 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 2,758 | 2,743 | $57K |
| D0330 | Panoramic radiographic image | 5.4% | 1,069 | 1,052 | $52K |
| D2335 | 4.5% | 436 | 242 | $43K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 694 | 440 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,123 | 1,111 | $35K |
14 more codes
| D2332 | 2.7% | 352 | $26K | |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 255 | $16K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,418 | $15K |
| D2160 | 1.4% | 201 | $14K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 228 | $13K |
| D2161 | 1.2% | 150 | $12K | |
| D1206 | Topical application of fluoride varnish | <1% | 328 | $9K |
| D1351 | Sealant - per tooth | <1% | 388 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 136 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,054 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 173 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 607 | $4K |
| D2140 | <1% | 90 | $4K | |
| D1354 | <1% | 19 | $283.50 |
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 officialSCHWALBACH, KELLIE (CEO)