SMILEDMD OF MARYLAND, LLC
NPI: 1154690501
· OWINGS MILLS, MD 21117
· General Practice Dentistry
· NPI assigned 12/14/2011
Provider Details
| Authorized Official | ROH, YOONCHUL (OWNER) |
| NPI Enumeration Date | 12/14/2011 |
Related Entities
Other providers sharing the same authorized official: ROH, YOONCHUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
377 |
$10K |
| 2020 |
65 |
$1K |
| 2021 |
12 |
$264.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
172 |
172 |
$4K |
| D1120 |
Prophylaxis - child |
77 |
77 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$2K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$812.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$578.00 |
| D1330 |
|
65 |
65 |
$390.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$264.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$108.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$72.00 |