ELDERSBURG DENTAL GROUP, LLC
NPI: 1679022834
· ELDERSBURG, MD 21784
· General Practice Dentistry
· NPI assigned 09/29/2016
Provider Details
| Authorized Official | CHO, ALEXANDER (OWNER) |
| NPI Enumeration Date | 09/29/2016 |
Related Entities
Other providers sharing the same authorized official: CHO, ALEXANDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$780.44 |
| 2021 |
42 |
$920.00 |
| 2022 |
130 |
$3K |
| 2023 |
320 |
$10K |
| 2024 |
553 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
494 |
485 |
$12K |
| D1110 |
Prophylaxis - adult |
149 |
148 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
241 |
237 |
$7K |
| D1120 |
Prophylaxis - child |
99 |
99 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
59 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$282.48 |