Clinic
One Family Dental Warren, LLC
One Family Dental Warren, LLC was paid $4K by Medicaid between Jul 2024 and Oct 2024, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 60% of everything it billed.
33Billing provider infoONE FAMILY DENTAL WARREN, LLC
INDIANAPOLIS, IN 46219
INDIANAPOLIS, IN 46219
33aNPI1013614940assigned 02/10/2023
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims223
24DCodes billed4
24AFirst – last monthJul 2024 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#106 of 123
Median peer was paid$191K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 223 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 60% | 69 | 54 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 63 | 48 | $645.24 |
| D0274 | Bitewings - four radiographic images | 12% | 20 | 14 | $514.64 |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 71 | 30 | $511.70 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKRISHNAN, SUDHAKAR (CEO)
Parent organizationONE FAMILY DENTAL
| Provider | Location | Paid |
|---|---|---|
| One Family Dental | Greenwood, IN | $20K |
| Direct Imaging LLC | Fort Wayne, IN | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.