Dental
Spark Dental LLC
Spark Dental LLC was paid $132K by Medicaid between Sep 2024 and Dec 2024, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoSPARK DENTAL LLC
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1760221386assigned 05/22/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims2,677
24DCodes billed17
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#210 of 598
Median peer was paid$42K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2024incomplete | 2,677 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 424 | 424 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 151 | 65 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 148 | 73 | $20K |
| D1110 | Prophylaxis - adult | 8.9% | 174 | 174 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.4% | 103 | 58 | $11K |
| D1351 | Sealant - per tooth | 5.0% | 164 | 21 | $7K |
| D0274 | Bitewings - four radiographic images | 4.8% | 265 | 265 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 233 | 233 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 390 | 390 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 25 | 16 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 72 | 72 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.0% | 35 | 27 | $4K |
5 more codes
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 officialNADIMPALLI, MADHU VENKATA (GENERAL DENTIST/ OWNER)