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

    NPI 1609259266 · Milwaukee, WI · Dental Clinic/Center

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    Familia Dental Mkemitchell LLC is a dental clinic/center provider located in Milwaukee, Wisconsin. This profile covers 0 Medicare and 34 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamilia Dental Mkemitchell LLC
    Address821 S Layton Blvd
    CityMilwaukee
    StateWI
    ZIP53215
    TaxonomyDental Clinic/Center
    NPI EnumeratedJuly 1, 2015

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

    Payer SourceTotal Paid
    Medicaid$8.5M
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth93,330$20$1.5M
    D2392Post 2 surface resin‑based composite20,620$50$989.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth22,310$30$602.5K
    D1120Prophylaxis–child27,310$20$600.7K
    D0150Comprehensive oral evaluation – new or established patient28,210$20$536K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients43,530$10$522.3K
    D0120Periodic oral evaluation - established patient29,990$20$449.8K
    D0274N/A29,490$20$442.4K
    D2391Resin‑based composite – one surface, posterior12,780$30$421.6K
    D0220Intraoral - periapical first radiographic image58,190$10$407.4K

    Showing 1–10 of 34

    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

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8670N/A70802,010$110$635.7K
    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…34120490$100$179.5K
    D2392Post 2 surface resin‑based composite4270510$60$123.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)17220430$50$111.4K
    D1351Sealant - per tooth13401,020$20$90.2K
    D2393Resin-based composite, three surfaces, posterior9140270$70$72.8K
    D2391Resin‑based composite – one surface, posterior4240300$50$71.8K
    D1120Prophylaxis–child6520460$30$62.6K
    D0210Intraoral - complete series of radiographic images49270360$40$60K
    D0120Periodic oral evaluation - established patient8500480$20$56K

    Showing 1–10 of 34

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Health Care Metro, Inc.WIGeneral Acute Care Hospital$0$181.9M
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Ascension St Francis Hospital, IncWIGeneral Acute Care Hospital$0$35.9M
    Jeffrey WeberWIGastroenterology Physician$20.8M$0
    Sixteenth Street Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$13.8M
    Ermed, ScWIEmergency Medicine Physician$0$8.1M
    Midwest Nephrology Associates, S.c.WINephrology Physician$0$5.7M
    Bright Dental 1 LLCWIGeneral Practice Dentistry$0$4.6M
    Fresenius Medical Care Midwest Dialysis, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Sweet Smiles Milwaukee LLCWIGeneral Practice Dentistry$0$3.7M

    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Familia Dental Mkemitchell LLC — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin