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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFamilia Dental Davenport LLC
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    Familia Dental Davenport LLC — Billing Profile & Reimbursement Data

    NPI 1205287067 · Davenport, IA · General Practice Dentistry

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    Familia Dental Davenport LLC is a general practice dentistry provider located in Davenport, Iowa. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamilia Dental Davenport LLC
    Address3301 W Kimberly Rd Ste 5
    CityDavenport
    StateIA
    ZIP52806
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJune 23, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth11,660$30$349.7K
    D2392Post 2 surface resin‑based composite4,930$60$285.8K
    D1351Sealant - per tooth14,960$10$209.5K
    D0274N/A10,510$20$199.7K
    D2391Resin‑based composite – one surface, posterior4,580$40$196.7K
    D0150Comprehensive oral evaluation – new or established patient10,090$20$191.7K
    D0120Periodic oral evaluation - established patient13,460$10$188.4K
    D1120Prophylaxis–child9,320$20$186.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3,650$40$157.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients11,180$10$122.9K

    Showing 1–10 of 30

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    30 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…2340310$100$162.7K
    D2740N/A375060$360$101.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)18170330$50$88.3K
    D1351Sealant - per tooth10190750$20$60.2K
    D2392Post 2 surface resin‑based composite11210230$60$58.6K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant1750210$70$46K
    D1120Prophylaxis–child22580310$20$43.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth11630370$30$36.8K
    D2391Resin‑based composite – one surface, posterior7190210$40$34.7K
    D0120Periodic oral evaluation - established patient17830530$20$34.1K

    Showing 1–10 of 30

    Nearby Providers

    Other providers in the same ZIP code as Familia Dental Davenport LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem Iowa Community Services, IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$87.2M
    Handicapped Development CenterIARespite Care$0$59.8M
    Vera French Restorative Care FacilitiesIAPsychiatric Residential Treatment Facility$0$29.9M
    Center For Behavioral Health Iowa LLCIAMethadone Clinic$69.5K$3.1M
    Amana Medical Care, Inc.IAUrgent Care Clinic/Center$0$2.4M
    Companion Care Quad Cities Inc. Dba Home HelpersIAHome Health Agency$0$1.8M
    Scott HansenIAGeneral Practice Dentistry$0$1.6M
    Community Centered Counseling Services, LLC.IACommunity/Behavioral Health Agency$0$1.6M
    Mouhamed Al SheikhaIANephrology Physician$527.9K$3.9K
    William ColantoniIADermatology Physician$181.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Familia Dental Davenport LLC — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa