Dental
ST. Charles Family Dental
ST. Charles Family Dental was paid $498K by Medicaid between Jan 2018 and Aug 2022, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoST. CHARLES FAMILY DENTAL
WALDORF, MD 20603
WALDORF, MD 20603
33aNPI1619359213assigned 06/19/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$498K
24GClaims13,942
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#98 of 598
Median peer was paid$42K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 2,505 | $86K | |
| 2019 | 3,546 | $129K | |
| 2020 | 2,023 | $65K | |
| 2021 | 3,966 | $146K | |
| 2022 | 1,902 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 3,185 | 481 | $106K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 534 | 263 | $64K |
| D1110 | Prophylaxis - adult | 12% | 1,051 | 1,038 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,386 | 1,372 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,897 | 1,874 | $55K |
| D1206 | Topical application of fluoride varnish | 9.0% | 1,808 | 1,782 | $45K |
| D0330 | Panoramic radiographic image | 5.0% | 599 | 591 | $25K |
| D0274 | Bitewings - four radiographic images | 4.5% | 1,020 | 1,004 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 342 | 338 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 680 | 677 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 124 | 71 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 44 | 24 | $7K |
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 officialCOLEMAN-BORDES, MARILYN (DENTIST)