Crown & Glory Dental, LLC

Crown & Glory Dental, LLC was paid $27K by Medicaid between Aug 2024 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoCROWN & GLORY DENTAL, LLC
WALDORF, MD 20603

33aNPI1528656600assigned 01/05/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$27K

24GClaims1,112

24DCodes billed10

24AFirst – last monthAug 2024 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#345 of 598

Median peer was paid$42K

This provider vs. median0.6×

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
2024incomplete	1,112	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	147	109	$5K
D1206	Topical application of fluoride varnish	20%	259	202	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	206	156	$5K
D1110	Prophylaxis - adult	15%	78	60	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	10%	63	15	$3K
D0274	Bitewings - four radiographic images	6.9%	107	77	$2K
D1351	Sealant - per tooth	6.7%	109	12	$2K
D1330		1.9%	88	71	$511.20
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.3%	40	13	$354.42
D0220	Intraoral - periapical first radiographic image	<1%	15	15	$177.30

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 officialBUSH, NAKIA (DENTIST/OWNER)