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 Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Madison East LLC (NPI 1821451428)

Field	Value
Entity Type	Organization
Organization	Familia Dental Madison East LLC
Address	3003 E Washington Ave
City	Madison
State	WI
ZIP	53704
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 31, 2016

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	26,470	$20	$555.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,150	$30	$508.1K
D2392	Post 2 surface resin‑based composite	8,150	$60	$456.6K
D2391	Resin‑based composite – one surface, posterior	9,630	$40	$414K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,170	$10	$392.2K
D0274	N/A	20,750	$20	$373.5K
D0150	Comprehensive oral evaluation – new or established patient	18,640	$20	$372.9K
D8670	N/A	2,760	$130	$356.6K
D0220	Intraoral - periapical first radiographic image	36,950	$10	$295.6K
D1120	Prophylaxis–child	12,440	$20	$273.6K

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.

Claims Volume vs. Wisconsin Distribution

Familia Dental Madison East LLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	31	80	2,010	$110	$635.7K
D8080	N/A	20	40	100	$950	$428.8K
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…	28	120	490	$100	$179.5K
D2392	Post 2 surface resin‑based composite	19	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	25	220	430	$50	$111.4K
D1351	Sealant - per tooth	13	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	18	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	9	240	300	$50	$71.8K
D1120	Prophylaxis–child	21	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	100	270	360	$40	$60K

Showing 1–10 of 39

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dane County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$187.1M
Access Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$51.9M
Dane County Human Services	WI	Community/Behavioral Health Agency	$0	$37.2M
Dane County Human Services	WI	Community/Behavioral Health Agency	$0	$18.1M
Dane County Department Of Human Services	WI	Case Management Agency	$0	$18M
Psychological Addiction Services LLC	WI	Methadone Clinic	$138K	$8.5M
Care Wisconsin First, Inc.	WI	Health Maintenance Organization	$0	$7.4M
Teamwork Associates, Inc	WI	Case Management Agency	$0	$7.3M
Dane County Human Services	WI	Public Health or Welfare Agency	$0	$6.1M
Brianna Kauer	WI	Behavior Analyst	$0	$1.8M

Familia Dental Madison East LLC — Billing Profile & Reimbursement Data

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Familia Dental Madison East LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References