CHESAPEAKE SMILES, LLC
NPI: 1730463456
· ODENTON, MD 21113
· General Practice Dentistry
· NPI assigned 09/29/2011
Provider Details
| Authorized Official | TUJJAR, OQBA (PRESIDENT) |
| NPI Enumeration Date | 09/29/2011 |
Related Entities
Other providers sharing the same authorized official: TUJJAR, OQBA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
772 |
$19K |
| 2019 |
185 |
$5K |
| 2020 |
218 |
$6K |
| 2021 |
87 |
$2K |
| 2022 |
122 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
530 |
522 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
285 |
282 |
$8K |
| D1110 |
Prophylaxis - adult |
133 |
132 |
$8K |
| D1120 |
Prophylaxis - child |
70 |
70 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
183 |
178 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$669.50 |
| D1330 |
|
95 |
95 |
$570.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
61 |
61 |
$366.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$308.00 |