ACORA DENTAL, LLC
NPI: 1588261085
· WALDORF, MD 20602
· General Practice Dentistry
· NPI assigned 10/07/2020
$205K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: AULAKH, PREETINDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
17 |
$167.45 |
| 2023 |
2,381 |
$86K |
| 2024 |
3,293 |
$118K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
810 |
806 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
774 |
766 |
$43K |
| D0330 |
Panoramic radiographic image |
550 |
543 |
$25K |
| D1206 |
Topical application of fluoride varnish |
867 |
862 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
342 |
332 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
453 |
453 |
$14K |
| D0274 |
Bitewings - four radiographic images |
411 |
407 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
864 |
840 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
540 |
532 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
12 |
$3K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$2K |
| D2950 |
|
20 |
12 |
$2K |