Radcliffe Family Dental, LLC

Radcliffe Family Dental, LLC was paid $123K by Medicaid between Mar 2018 and Jun 2023, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.

33Billing provider infoRADCLIFFE FAMILY DENTAL, LLC
GARY, IN 46404

33aNPI1023201175assigned 08/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$123K

24GClaims3,533

24DCodes billed9

24AFirst – last monthMar 2018 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#285 of 723

Median peer was paid$60K

This provider vs. median2.1×

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
2018	234	$1K
2019	517	$16K
2020	695	$24K
2021	872	$34K
2022	868	$35K
2023	347	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	36%	895	811	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	1,199	1,107	$26K
D0274	Bitewings - four radiographic images	15%	591	541	$18K
D0210	Intraoral - complete series of radiographic images	13%	295	261	$16K
D0150	Comprehensive oral evaluation - new or established patient	7.4%	305	270	$9K
D0330	Panoramic radiographic image	4.3%	103	94	$5K
D1208	Topical application of fluoride, excluding varnish	2.0%	114	111	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	17	16	$552.00
D0140	Limited oral evaluation - problem focused	<1%	14	12	$537.64

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 officialRADCLIFFE, TRINODA (OWNER)