MAPLE LAWN DENTAL CARE, LLC
NPI: 1598053696
· FULTON, MD 20759
· Dentist
· NPI assigned 07/11/2011
Provider Details
| Authorized Official | NGO, TOM (OFFICE MANAGER) |
| NPI Enumeration Date | 07/11/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
65 |
$2K |
| 2020 |
14 |
$322.00 |
| 2021 |
12 |
$276.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
53 |
53 |
$1K |
| D4355 |
|
12 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$348.96 |
| D1330 |
|
14 |
14 |
$84.00 |