COLUMBIA PRIME DENTAL, LLC
NPI: 1720370737
· ELKRIDGE, MD 21075
· General Practice Dentistry
· NPI assigned 05/09/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$6K |
| 2019 |
500 |
$13K |
| 2020 |
416 |
$10K |
| 2021 |
373 |
$11K |
| 2022 |
376 |
$10K |
| 2023 |
474 |
$15K |
| 2024 |
562 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,125 |
1,105 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
811 |
798 |
$24K |
| D1110 |
Prophylaxis - adult |
233 |
233 |
$15K |
| D1120 |
Prophylaxis - child |
324 |
311 |
$14K |
| D0274 |
Bitewings - four radiographic images |
97 |
97 |
$2K |
| D1330 |
|
291 |
275 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$788.76 |