Clinic
Transformative Family Dentistry, LLC
Transformative Family Dentistry, LLC was paid $20K by Medicaid between Dec 2022 and Oct 2024, across 6 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 34% of everything it billed.
33Billing provider infoTRANSFORMATIVE FAMILY DENTISTRY, LLC
INDIANAPOLIS, IN 46268
INDIANAPOLIS, IN 46268
33aNPI1396486791assigned 04/07/2022
33bProvider typeDental Clinic/Center
28Total paid$20K
24GClaims550
24DCodes billed6
24AFirst – last monthDec 2022 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#92 of 123
Median peer was paid$191K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 15 | $546.70 | |
| 2023 | 443 | $17K | |
| 2024incomplete | 92 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 34% | 143 | 118 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 228 | 189 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 58 | 29 | $4K |
| D1110 | Prophylaxis - adult | 14% | 71 | 62 | $3K |
| D4346 | 3.7% | 19 | 12 | $750.00 | |
| D1206 | Topical application of fluoride varnish | 2.2% | 31 | 28 | $460.00 |
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 officialRATLIFF, KYLE (OWNER/DENTIST)