MARYLAND HOLISTIC DENTISTRY
NPI: 1164130027
· CROWNSVILLE, MD 21032
· Dental Clinic/Center
· NPI assigned 11/09/2022
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHULTHEIS, GENA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
286 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
103 |
103 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
41 |
$2K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$153.66 |