FAMILY HEALTH CENTERS OF BALTIMORE
NPI: 1265638951
· BALTIMORE, MD 21225
· General Practice Dentistry
· NPI assigned 06/21/2007
$233K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MCLELLAN, PAULA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,008 |
$115K |
| 2019 |
892 |
$93K |
| 2020 |
316 |
$23K |
| 2021 |
12 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
1,356 |
1,192 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
39 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
102 |
92 |
$4K |
| D1206 |
Topical application of fluoride varnish |
226 |
215 |
$3K |
| D1120 |
Prophylaxis - child |
119 |
113 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
175 |
150 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
156 |
137 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
13 |
$81.00 |