MADISON DENTAL LLC
NPI: 1467909952
· ROCKVILLE, MD 20850
· Dentist
· NPI assigned 09/01/2016
$440K
Total Medicaid Paid
Provider Details
| Authorized Official | LIU, BEN (OWNER) |
| NPI Enumeration Date | 09/01/2016 |
Related Entities
Other providers sharing the same authorized official: LIU, BEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
820 |
$26K |
| 2019 |
1,449 |
$48K |
| 2020 |
1,072 |
$31K |
| 2021 |
2,157 |
$59K |
| 2022 |
2,188 |
$60K |
| 2023 |
3,678 |
$116K |
| 2024 |
2,987 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,049 |
3,008 |
$135K |
| D1206 |
Topical application of fluoride varnish |
3,532 |
3,484 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
2,695 |
2,659 |
$81K |
| D1351 |
Sealant - per tooth |
1,586 |
332 |
$56K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
150 |
82 |
$20K |
| D0272 |
Bitewings - two radiographic images |
949 |
943 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
279 |
274 |
$14K |
| D1330 |
|
1,437 |
1,420 |
$9K |
| D1110 |
Prophylaxis - adult |
114 |
114 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
376 |
327 |
$7K |
| D0330 |
Panoramic radiographic image |
102 |
96 |
$4K |
| D0274 |
Bitewings - four radiographic images |
60 |
60 |
$1K |
| D3120 |
|
22 |
12 |
$770.00 |