CROWN & GLORY DENTAL, LLC
NPI: 1528656600
· WALDORF, MD 20603
· General Practice Dentistry
· NPI assigned 01/05/2021
Provider Details
| Authorized Official | BUSH, NAKIA (DENTIST/OWNER) |
| NPI Enumeration Date | 01/05/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,112 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
147 |
109 |
$5K |
| D1206 |
Topical application of fluoride varnish |
259 |
202 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
206 |
156 |
$5K |
| D1110 |
Prophylaxis - adult |
78 |
60 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
63 |
15 |
$3K |
| D0274 |
Bitewings - four radiographic images |
107 |
77 |
$2K |
| D1351 |
Sealant - per tooth |
109 |
12 |
$2K |
| D1330 |
|
88 |
71 |
$511.20 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
40 |
13 |
$354.42 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$177.30 |