Medicaid Provider Spending

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

ONE FAMILY DENTAL

NPI: 1316657463 · GREENWOOD, IN 46143 · Dental Clinic/Center · NPI assigned 11/30/2022

$20K
Total Medicaid Paid
1,755
Total Claims
666
Beneficiaries
7
Codes Billed
2023-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKRISHNAN, SUDHAKAR (CEO)
NPI Enumeration Date11/30/2022

Related Entities

Other providers sharing the same authorized official: KRISHNAN, SUDHAKAR

ProviderCityStateTotal Paid
DIRECT IMAGING LLC FORT WAYNE IN $20K
ONE FAMILY DENTAL WARREN, LLC INDIANAPOLIS IN $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,462 $13K
2024 293 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 478 183 $8K
D0274 Bitewings - four radiographic images 263 84 $3K
D1110 Prophylaxis - adult 110 55 $3K
D0220 Intraoral - periapical first radiographic image 468 198 $2K
D0230 Intraoral - periapical each additional radiographic image 409 119 $2K
D1120 Prophylaxis - child 12 12 $556.08
D0120 Periodic oral evaluation - established patient 15 15 $441.00