UPPER MARLBORO FAMILY DENTISTRY
NPI: 1801068085
· UPPER MARLBORO, MD 20772
· General Practice Dentistry
· NPI assigned 03/28/2008
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINS, AFOLABI (PRESIDENT/ GENERAL DENTIST) |
| NPI Enumeration Date | 03/28/2008 |
Related Entities
Other providers sharing the same authorized official: MARTINS, AFOLABI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
295 |
$9K |
| 2019 |
191 |
$5K |
| 2021 |
26 |
$670.96 |
| 2022 |
574 |
$15K |
| 2023 |
1,555 |
$57K |
| 2024 |
1,342 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
590 |
577 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
705 |
683 |
$21K |
| D1206 |
Topical application of fluoride varnish |
737 |
732 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
275 |
274 |
$15K |
| D0274 |
Bitewings - four radiographic images |
514 |
502 |
$12K |
| D0330 |
Panoramic radiographic image |
262 |
258 |
$12K |
| D1120 |
Prophylaxis - child |
157 |
155 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
304 |
294 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
179 |
177 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$1K |
| D1330 |
|
139 |
139 |
$866.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
97 |
97 |
$688.80 |