Dental
Gaithersburg Dental Associate PA
Gaithersburg Dental Associate PA was paid $94K by Medicaid between Nov 2022 and Feb 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoGAITHERSBURG DENTAL ASSOCIATE PA
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
33aNPI1073654133assigned 02/10/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$94K
24GClaims1,947
24DCodes billed13
24AFirst – last monthNov 2022 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#234 of 598
Median peer was paid$42K
This provider vs. median2.3×
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 | 13 | $78.00 | |
| 2023 | 1,647 | $76K | |
| 2024incomplete | 287 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 200 | 101 | $27K |
| D1110 | Prophylaxis - adult | 20% | 302 | 297 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 198 | 193 | $11K |
| D0330 | Panoramic radiographic image | 8.3% | 174 | 170 | $8K |
| D1206 | Topical application of fluoride varnish | 7.4% | 282 | 277 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 58 | 25 | $6K |
| D0274 | Bitewings - four radiographic images | 5.4% | 218 | 213 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 121 | 121 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 209 | 197 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 109 | 105 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 30 | 30 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 18 | 18 | $834.30 |
1 more codes
| D1330 | <1% | 28 | $168.00 |
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 officialLOGMANNI, MANDANA (PRESIDENT)