NPI: 1427829639 · ESSEX, MD 21221 · General Practice Dentistry · NPI assigned 01/16/2024
| Authorized Official | SEMEREY, VLADIMIR (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 01/16/2024 |
Other providers sharing the same authorized official: SEMEREY, VLADIMIR
| Provider | City | State | Total Paid |
|---|---|---|---|
| HIGHLANDTOWN DENTAL GROUP, LLC | BALTIMORE | MD | $2.78M |
| DENTAL GROUP OF BALTIMORE CITY | BALTIMORE | MD | $1.29M |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,514 | $59K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 217 | 217 | $12K |
| D0330 | Panoramic radiographic image | 253 | 253 | $12K |
| D1110 | Prophylaxis - adult | 161 | 161 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 43 | 26 | $6K |
| D0274 | Bitewings - four radiographic images | 187 | 187 | $5K |
| D1206 | Topical application of fluoride varnish | 169 | 169 | $4K |
| D0140 | Limited oral evaluation - problem focused | 89 | 86 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 160 | 158 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 235 | 223 | $3K |