Dental
Family Dental Care PC
Family Dental Care PC was paid $1.76M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoFAMILY DENTAL CARE PC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1952462657assigned 12/13/2006
33bProvider typeDentist
28Total paid$1.76M
24GClaims46,604
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#37 of 452
Median peer was paid$59K
This provider vs. median30×
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 | 4,944 | $36K | |
| 2019 | 6,367 | $266K | |
| 2020 | 7,264 | $298K | |
| 2021 | 7,722 | $313K | |
| 2022 | 7,217 | $297K | |
| 2023 | 8,040 | $330K | |
| 2024incomplete | 5,050 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 6,139 | 3,411 | $379K |
| D1110 | Prophylaxis - adult | 12% | 4,779 | 4,524 | $208K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 2,495 | 1,664 | $202K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 2,727 | 1,728 | $130K |
| D0274 | Bitewings - four radiographic images | 7.0% | 4,109 | 3,873 | $124K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 5,641 | 5,337 | $116K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 3,077 | 2,901 | $91K |
| D0210 | Intraoral - complete series of radiographic images | 4.9% | 2,384 | 2,159 | $85K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 1,891 | 1,778 | $69K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 2,549 | 2,410 | $68K |
| D1206 | Topical application of fluoride varnish | 3.6% | 3,292 | 3,123 | $63K |
| D0330 | Panoramic radiographic image | 3.6% | 1,776 | 1,641 | $63K |
12 more codes
| D2394 | 2.7% | 516 | $48K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,055 | $28K |
| D4355 | 1.4% | 257 | $24K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,950 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,084 | $14K |
| D0272 | Bitewings - two radiographic images | <1% | 709 | $13K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 20 | $3K |
| D4342 | <1% | 39 | $2K | |
| D1351 | Sealant - per tooth | <1% | 71 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 14 | $1K |
| D4910 | <1% | 14 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | $167.00 |
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 officialSIM, CHANBO (PRESIDENT)