FREDERICK HEALTH MEDICAL GROUP LLC
NPI: 1073973012
· FREDERICK, MD 21701
· General Practice Dentistry
· NPI assigned 03/03/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MAHAN, MICHELLE controls 18+ related entities in our dataset. Read more
$578K
Total Medicaid Paid
Provider Details
| Authorized Official | MAHAN, MICHELLE (CFO) |
| Parent Organization | FREDERICK HEALTH MEDICAL GROUP LLC |
| NPI Enumeration Date | 03/03/2016 |
Related Entities
Other providers sharing the same authorized official: MAHAN, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,508 |
$278K |
| 2024 |
3,191 |
$300K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
3,279 |
1,065 |
$414K |
| D0140 |
Limited oral evaluation - problem focused |
1,340 |
1,316 |
$62K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
454 |
345 |
$49K |
| D0330 |
Panoramic radiographic image |
1,025 |
1,010 |
$46K |
| D0220 |
Intraoral - periapical first radiographic image |
466 |
455 |
$4K |
| D0270 |
|
135 |
129 |
$1K |