Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Familia Dental Indianapolis Avondale, LLC (NPI 1245752534)

Field	Value
Entity Type	Organization
Organization	Familia Dental Indianapolis Avondale, LLC
Address	2940 E 38th St Ste Ghi
City	Indianapolis
State	IN
ZIP	46218
Taxonomy	Dental Clinic/Center
NPI Enumerated	July 9, 2017

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
D1354	N/A	6,050	$90	$532K
D1351	Sealant - per tooth	18,630	$20	$372.7K
D4346	N/A	1,660	$160	$261.5K
D0150	Comprehensive oral evaluation – new or established patient	7,540	$30	$188.5K
D0274	N/A	7,020	$30	$182.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,750	$40	$175.6K
D1120	Prophylaxis–child	6,780	$20	$162.8K
D2392	Post 2 surface resin‑based composite	2,550	$60	$147.8K
D0120	Periodic oral evaluation - established patient	7,330	$20	$131.9K
D0230	Intraoral - periapical each additional radiographic image	15,730	$10	$110.1K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Familia Dental Indianapolis Avondale, LLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1354	N/A	24	130	700	$70	$252.9K
D7210	Extraction, 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…	212	350	410	$150	$251K
D1351	Sealant - per tooth	30	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	235	540	460	$70	$106.9K
D1355	N/A	4	10	380	$80	$90.2K
D2392	Post 2 surface resin‑based composite	103	720	400	$60	$76.5K
D1120	Prophylaxis–child	87	970	450	$30	$69K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	94	1,230	660	$40	$67K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	109	750	530	$20	$56.9K
D0120	Periodic oral evaluation - established patient	110	1,360	800	$20	$53.2K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthnet, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$74M
Seals Ambulance Service, Inc.	IN	Land Ambulance	$1.8M	$10.7M
Denise Moore	IN	Clinical Social Worker	$0	$5.6M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$5M
City Optical Co., Inc.	IN	Optometrist	$0	$2.8M
Sherman Westend Dental LLC	IN	General Practice Dentistry	$0	$2.7M
East Campus Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$663.1K	$683.4K
Ruth Human	IN	Family Nurse Practitioner	$49.4K	$0
Linda Fundenberger	IN	Ophthalmology Physician	$36.7K	$10.3K

Familia Dental Indianapolis Avondale, LLC — Billing Profile & Reimbursement Data

Sign up for Familia Dental Indianapolis Avondale, LLC — Billing Profile & Reimbursement Data policy alerts

Familia Dental Indianapolis Avondale, LLC — Billing Profile & Reimbursement Data

Sign up for Familia Dental Indianapolis Avondale, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References