NPI: 1174011563 · SILVER SPRING, MD 20901 · Dental Clinic/Center · NPI assigned 05/01/2018
| Authorized Official | POWELL-DAVIS, MONIQUE (CHIEF MEDICAL OFFICER) |
| NPI Enumeration Date | 05/01/2018 |
Other providers sharing the same authorized official: POWELL-DAVIS, MONIQUE
| Provider | City | State | Total Paid |
|---|---|---|---|
| MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC | WASHINGTON | DC | $56.78M |
| MARY'S CENTER FOR MATERNAL & CHILD CARE | WASHINGTON | DC | $12.41M |
| MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC | WASHINGTON | DC | $7.19M |
| MARY'S CENTER FOR MATERNAL AND CHILD CARE | WASHINGTON | DC | $6.33M |
| MARY'S CENTER FOR MATERNAL & CHILD CARE, INC | WASHINGTON | DC | $167K |
| MARYS CENTER FOR MATERNAL AND CHILD CARE INC | ADELPHI | MD | $152K |
| MARY'S CENTER FOR MATERNAL & CHILD CARE | WASHINGTON | DC | $37K |
| MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC. | HYATTSVILLE | MD | $9K |
| MARYS CENTER FOR MATERNAL AND CHILD CARE INC | WASHINGTON | DC | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 259 | $329.80 |
| 2021 | 63 | $3K |
| 2022 | 476 | $713.17 |
| 2023 | 342 | $39K |
| 2024 | 237 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 943 | 607 | $88K |
| D1208 | Topical application of fluoride, excluding varnish | 25 | 25 | $611.17 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 105 | 88 | $278.80 |
| 90670 | 13 | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 33 | 32 | $0.00 |
| 90461 | 14 | 14 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15 | 15 | $0.00 |
| D0999 | Unspecified diagnostic procedure, by report | 216 | 210 | $0.00 |
| 96127 | 13 | 13 | $0.00 |