Clinic
Belvedere Square Dental LLC
Belvedere Square Dental LLC was paid $202K by Medicaid between Feb 2021 and Nov 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoBELVEDERE SQUARE DENTAL LLC
BALTIMORE, MD 21209
BALTIMORE, MD 21209
33aNPI1104271279assigned 04/26/2016
33bProvider typeDental Clinic/Center
28Total paid$202K
24GClaims3,620
24DCodes billed15
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#71 of 133
Median peer was paid$216K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 25 | $623.00 | |
| 2022 | 42 | $1K | |
| 2023 | 2,399 | $152K | |
| 2024incomplete | 1,154 | $48K |
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 | 21% | 318 | 168 | $42K |
| D1110 | Prophylaxis - adult | 19% | 596 | 587 | $38K |
| D2750 | 11% | 50 | 39 | $23K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 367 | 350 | $19K |
| D1206 | Topical application of fluoride varnish | 8.6% | 686 | 673 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 268 | 259 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 427 | 427 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.5% | 82 | 58 | $13K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 180 | 162 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 402 | 376 | $4K |
| D2335 | 1.6% | 20 | 12 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 22 | 13 | $2K |
3 more codes
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 officialSHAPIRO, HELENE (DENTIST)