TRANSFORMATIVE FAMILY DENTISTRY, LLC
NPI: 1396486791
· INDIANAPOLIS, IN 46268
· Dental Clinic/Center
· NPI assigned 04/07/2022
Provider Details
| Authorized Official | RATLIFF, KYLE (OWNER/DENTIST) |
| NPI Enumeration Date | 04/07/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$546.70 |
| 2023 |
443 |
$17K |
| 2024 |
92 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
143 |
118 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
228 |
189 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
58 |
29 |
$4K |
| D1110 |
Prophylaxis - adult |
71 |
62 |
$3K |
| D4346 |
|
19 |
12 |
$750.00 |
| D1206 |
Topical application of fluoride varnish |
31 |
28 |
$460.00 |