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 Racine LLC (NPI 1962883926)

Field	Value
Entity Type	Organization
Organization	Familia Dental Racine LLC
Address	5201 Washington Ave
City	Racine
State	WI
ZIP	53406
Taxonomy	Dental Clinic/Center
NPI Enumerated	June 16, 2015

Payer Source	Total Paid
Medicaid	$17.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused dental clinic: there is no Medicare billing on file and reported Total Medicaid revenue is $17.9M, indicating the organization operates as a single‑payer (Medicaid) dental provider at scale. The NPI was enumerated on 2015-06-16 (~11 years ago), so the practice has an established presence in-state across multiple years of Medicaid activity.

Revenue concentration is substantial: the precomputed top three Medicaid codes (D2392, D8670, D8080) account for 30.9% of the provider's total Medicaid revenue. Individually those codes are sizable contributors: D2392 shows $2.2M revenue (12.8%), D8670 $1.8M revenue (10.3%), and D8080 $1.4M revenue (7.8%), so a relatively small set of codes drives nearly one‑third of Medicaid revenue.

The clinical mix is weighted toward high-volume preventive and restorative dental services. High claim counts and revenue for restorative codes appear throughout the top list (for example, D2392: 27.9K claims, D2393: 12.2K claims, and D2391: 12.2K claims), while preventive services show similarly large volumes (D1351 – Sealant: 46.6K claims, D1120 – Prophylaxis–child: 21.4K claims), suggesting the operation handles both routine pediatric preventive care and substantial posterior composite restorations.

Operationally, the provider demonstrates extremely high throughput on imaging and routine evaluation codes, which supports a high‑volume clinic model: D0230 has 50.6K claims ($455.5K revenue) and ranks #4 of 253 providers in‑state (99th percentile), D0220 has 48.9K claims ($537.4K revenue) and ranks #2 of 345 (100th percentile), and D0120 has 30.4K claims ($607K revenue) and ranks #7 of 502 (99th percentile). These volumes are consistent with large patient panels and frequent episodic visits for diagnostic and preventive services.

Several top codes show dominance relative to in‑state peers, indicating this provider is a major statewide player for many Medicaid dental procedures. Examples include D2393 ranking #1 of 139 providers (100th percentile; extreme outlier) and D2392 ranking #2 of 267 providers (100th percentile; extreme outlier), while D1351 ranks #4 of 338 (99th percentile; extreme outlier), signaling unusually high market share or throughput for posterior composite restorations and sealants.

There are noteworthy high-cost per-claim items in the mix that contribute meaningful revenue despite lower claim counts: D8080 reports 1.5K claims at an $882 avg paid/claim for $1.4M revenue and ranks #5 of 36 providers in‑state (89th percentile; notably above typical state volume). The presence of such high average-paid codes alongside very large-volume low‑unit services suggests a blended service model where a few high‑cost procedures materially lift overall Medicaid revenue.

The provider also reports high volumes of extractions and complex removal procedures, indicating a case mix that includes surgical dental care: D7210 has 9.6K claims ($1.1M revenue) and ranks #7 of 124 (95th percentile; notably above typical state volume), and D7140 has 11.6K claims ($786.4K revenue) and ranks #11 of 221 (95th percentile; notably above typical state volume). Together with the restorative and preventive activity, this pattern points to a full‑service dental clinic that manages both routine and surgical needs for the Medicaid population.

Not all high-revenue codes are exceptional statewide—some are within typical ranges—so the provider’s profile mixes extreme outlier activity with routine participation. For example, D8670 shows $1.8M revenue from 18.8K claims and ranks #6 of 75 providers (93th percentile; typical, unremarkable volume), while codes such as D2930 ($555.1K revenue) and D8680 ($107K revenue) are also described as having typical or modest standing, indicating pockets of ordinary market participation amid several dominant service lines.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	27,910	$80	$2.2M
D8670	N/A	18,780	$100	$1.8M
D8080	N/A	1,540	$880	$1.4M
D2393	Resin-based composite, three surfaces, posterior	12,170	$100	$1.2M
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…	9,600	$110	$1.1M
D1351	Sealant - per tooth	46,630	$20	$1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11,560	$70	$786.4K
D2391	Resin‑based composite – one surface, posterior	12,170	$60	$742.3K
D1120	Prophylaxis–child	21,360	$30	$619.4K
D0120	Periodic oral evaluation - established patient	30,350	$20	$607K

Showing 1–10 of 40

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 Racine LLC — 21 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	6	80	2,010	$110	$635.7K
D8080	N/A	5	40	100	$950	$428.8K
D2930	N/A	11	80	410	$150	$427.7K
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…	7	120	490	$100	$179.5K
D9920	N/A	3	10	170	$190	$173.1K
D2392	Post 2 surface resin‑based composite	2	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	11	220	430	$50	$111.4K
D1351	Sealant - per tooth	4	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	1	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	5	240	300	$50	$71.8K

Showing 1–10 of 40

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Idental LLC	WI	Dentist	$0	$11.7M
Developmental Disabilities Information Service, Inc.	WI	Case Management Agency	$0	$10.9M
Beta Diagnostic Labs LLC	WI	Clinical Medical Laboratory	$1.7M	$8.4M
Mynt Dental Racine LLC	WI	General Practice Dentistry	$0	$4.2M
Covid Care Zone Inc	WI	Clinical Medical Laboratory	$71.4K	$3.6M
Sweet Smiles Mt. Pleasant LLC	WI	General Practice Dentistry	$0	$3.6M
Chad Novasic Pt Ltd	WI	Physical Therapist	$0	$2.6M
Paramount Pediatric Dentistry Of Racine	WI	Pediatric Dentistry	$0	$2.3M
Sasan Molavi	WI	Dentist	$0	$2.1M
Wisconsin Smiles	WI	Dental Clinic/Center	$0	$1.4M

Familia Dental Racine LLC — Billing Profile & Reimbursement Data

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Familia Dental Racine LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References