ELDERSBURG PEDIATRIC DENTISTRY, LLC
NPI: 1093412546
· SYKESVILLE, MD 21784
· Pediatric Dentist
· NPI assigned 02/14/2023
Provider Details
| Authorized Official | KIM, SU (OWNER) |
| NPI Enumeration Date | 02/14/2023 |
Related Entities
Other providers sharing the same authorized official: KIM, SU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
605 |
$22K |
| 2024 |
4,438 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,056 |
545 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
431 |
276 |
$15K |
| D1206 |
Topical application of fluoride varnish |
1,223 |
648 |
$14K |
| D1351 |
Sealant - per tooth |
280 |
57 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
83 |
28 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
360 |
167 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
564 |
236 |
$5K |
| D0272 |
Bitewings - two radiographic images |
332 |
188 |
$3K |
| D1330 |
|
652 |
362 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
50 |
46 |
$984.50 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$141.84 |