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    OpenPayerNPI Medicare & MedicaidFamily Dental LLC
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    Family Dental LLC — Billing Profile & Reimbursement Data

    NPI 1629355045 · Rock Hill, SC · General Practice Dentistry

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    Family Dental LLC is a general practice dentistry provider located in Rock Hill, South Carolina. This profile covers 0 Medicare and 22 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
    OrganizationFamily Dental LLC
    Address2022-2024 Cherry Road
    CityRock Hill
    StateSC
    ZIP29732
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedNovember 14, 2011

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

    Payer SourceTotal Paid
    Medicaid$3.5M
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite4,250$100$403.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth8,040$50$401.8K
    D2393Resin-based composite, three surfaces, posterior2,960$120$343.4K
    D0120Periodic oral evaluation - established patient9,790$20$225.2K
    D0274N/A8,300$30$224.1K
    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…1,570$140$216.7K
    D1120Prophylaxis–child5,950$40$208.4K
    D0220Intraoral - periapical first radiographic image15,500$10$201.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,270$90$193K
    D0150Comprehensive oral evaluation – new or established patient4,700$40$188.1K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite33350520$100$175.3K
    D1120Prophylaxis–child89470600$30$156.7K
    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…22120170$130$125.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)46290380$90$125K
    D2391Resin‑based composite – one surface, posterior83300270$80$110.5K
    D1351Sealant - per tooth37200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth21590850$50$104.9K
    D0120Periodic oral evaluation - established patient676101,060$20$100K
    D0272N/A103420590$20$63.3K
    D2393Resin-based composite, three surfaces, posterior6160140$120$54.4K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Family Dental LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Dental Center, LLCSCGeneral Practice Dentistry$0$3.9M
    Family Dental Center, LLCSCGeneral Practice Dentistry$0$2.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amisub Of South Carolina, Inc.SCGeneral Acute Care Hospital$0$34.5M
    New Horizons HomecareSCCommunity Based Hospice Care Agency$0$14.6M
    Tri-county Pediatrics LLCSCPediatrics Physician$0$13.8M
    Carolinas Physicians Network IncSCPediatrics Physician$0$8.5M
    A Mother's Choice Home Healthcare Agency LLCSCIn Home Supportive Care Agency$0$6.9M
    Right Steps LLCSCSpeech-Language Pathologist$0$5.3M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$3.7M
    Rock Hill Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$1.3M$1.7M
    Keystone Behavioral HealthSCCommunity/Behavioral Health Agency$0$3M

    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.

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    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Family Dental LLC — 6 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina