Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFamilia Dental West Green Bay
    Ask Trek AI about this page

    Familia Dental West Green Bay — Billing Profile & Reimbursement Data

    NPI 1588197149 · Green Bay, WI · Dental Clinic/Center

    Customize your policy alerts

    Sign up for Familia Dental West Green Bay — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Familia Dental West Green Bay is a dental clinic/center provider located in Green Bay, Wisconsin. This profile covers 0 Medicare and 39 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamilia Dental West Green Bay
    Address2280 W Mason St
    CityGreen Bay
    StateWI
    ZIP54303
    TaxonomyDental Clinic/Center
    NPI EnumeratedApril 10, 2017

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

    Payer SourceTotal Paid
    Medicaid$15M
    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)24,330$100$2.3M
    D2392Post 2 surface resin‑based composite17,440$90$1.6M
    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…7,590$140$1.1M
    D1351Sealant - per tooth34,850$30$1M
    D0230Intraoral - periapical each additional radiographic image79,470$10$1M
    D0140Limited oral evaluation – problem focused20,580$40$884.8K
    D2391Resin‑based composite – one surface, posterior13,470$70$875.5K
    D0220Intraoral - periapical first radiographic image42,980$20$730.7K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth19,840$30$674.4K
    D0150Comprehensive oral evaluation – new or established patient20,360$30$651.6K

    Showing 1–10 of 39

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    39 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A1720130$220$203.5K
    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…8120490$100$179.5K
    D7230N/A530110$180$163.8K
    D2392Post 2 surface resin‑based composite6270510$60$123.3K
    D3330N/A1110160$320$123K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3220430$50$111.4K
    D1351Sealant - per tooth103401,020$20$90.2K
    D2393Resin-based composite, three surfaces, posterior6140270$70$72.8K
    D2391Resin‑based composite – one surface, posterior3240300$50$71.8K
    D1120Prophylaxis–child22520460$30$62.6K

    Showing 1–10 of 39

    Nearby Providers

    Other providers in the same ZIP code as Familia Dental West Green Bay, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Addiction Management IncWIMethadone Clinic$1.2M$66.8M
    Brown County Oral Health Partnership, Inc.WIPublic Health or Welfare Agency$0$26.6M
    St Mary's Hospital Medical Center Of Green Bay Inc.-hospital SistersWIGeneral Acute Care Hospital$0$12.8M
    Green Bay Area Public School DistrictWILocal Education Agency (LEA)$0$6.2M
    Aspiro, Inc.WIDevelopmentally Disabled Services Day Training Agency$0$4.9M
    N.e.w. Community Clinic, LtdWIFederally Qualified Health Center (FQHC)$0$4.7M
    Kismet Advocacy LLCWIIn Home Supportive Care Agency$0$3.8M
    Power For Change, LLCWIMental Health Clinic/Center (Including Community Mental Health Center)$0$2.7M
    Family Services Of Northeast WiWIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.9M
    Tower Clock Surgery Center LLCWIAmbulatory Surgical Clinic/Center$1.2M$428.6K

    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. Wisconsin Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Familia Dental West Green Bay — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin