Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ONE FAMILY DENTAL WARREN, LLC

NPI: 1013614940 · INDIANAPOLIS, IN 46219 · Dental Clinic/Center · NPI assigned 02/10/2023

$4K
Total Medicaid Paid
223
Total Claims
146
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKRISHNAN, SUDHAKAR (CEO)
Parent OrganizationONE FAMILY DENTAL
NPI Enumeration Date02/10/2023

Related Entities

Other providers sharing the same authorized official: KRISHNAN, SUDHAKAR

ProviderCityStateTotal Paid
ONE FAMILY DENTAL GREENWOOD IN $20K
DIRECT IMAGING LLC FORT WAYNE IN $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 223 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 69 54 $2K
D0220 Intraoral - periapical first radiographic image 63 48 $645.24
D0274 Bitewings - four radiographic images 20 14 $514.64
D0230 Intraoral - periapical each additional radiographic image 71 30 $511.70