Elsabet Tekle DDS LLC

Elsabet Tekle DDS LLC was paid $190K by Medicaid between Nov 2023 and Nov 2024, across 14 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 32% of everything it billed.

33Billing provider infoELSABET TEKLE DDS LLC
SILVER SPRING, MD 20904

33aNPI1336927169assigned 09/21/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$190K

24GClaims2,961

24DCodes billed14

24AFirst – last monthNov 2023 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#172 of 598

Median peer was paid$42K

This provider vs. median4.6×

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
2023	385	$21K
2024incomplete	2,576	$169K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	32%	566	153	$60K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	27%	379	162	$52K
D1110	Prophylaxis - adult	11%	300	300	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.1%	424	424	$13K
D0140	Limited oral evaluation - problem focused	6.5%	260	255	$12K
D1120	Dental cleaning, childProphylaxis - child	4.9%	190	190	$9K
D1206	Topical application of fluoride varnish	4.6%	333	333	$9K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.6%	18	13	$3K
D3120		1.5%	82	42	$3K
D0210	Intraoral - complete series of radiographic images	1.2%	41	41	$2K
D0220	Intraoral - periapical first radiographic image	1.2%	196	194	$2K
D0274	Bitewings - four radiographic images	<1%	52	52	$1K

2 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	106	$839.68
D0150	Comprehensive oral evaluation - new or established patient	<1%	14	$788.76

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 officialTEKLE, ELSABET (DOCTOR)