RADCLIFFE FAMILY DENTAL, LLC
NPI: 1023201175
· GARY, IN 46404
· General Practice Dentistry
· NPI assigned 08/22/2007
$123K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
234 |
$1K |
| 2019 |
517 |
$16K |
| 2020 |
695 |
$24K |
| 2021 |
872 |
$34K |
| 2022 |
868 |
$35K |
| 2023 |
347 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
895 |
811 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
1,199 |
1,107 |
$26K |
| D0274 |
Bitewings - four radiographic images |
591 |
541 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
295 |
261 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
305 |
270 |
$9K |
| D0330 |
Panoramic radiographic image |
103 |
94 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
114 |
111 |
$2K |
| D1120 |
Prophylaxis - child |
17 |
16 |
$552.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$537.64 |