Dental
Abyssinia Dental LLC
Abyssinia Dental LLC was paid $887K by Medicaid between Mar 2019 and Dec 2024, across 20 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 36% of everything it billed.
33Billing provider infoABYSSINIA DENTAL LLC
BELTSVILLE, MD 20705
BELTSVILLE, MD 20705
33aNPI1851861199assigned 11/29/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$887K
24GClaims12,226
24DCodes billed20
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#62 of 598
Median peer was paid$42K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2019 | 51 | $2K | |
| 2020 | 101 | $4K | |
| 2021 | 637 | $20K | |
| 2022 | 703 | $36K | |
| 2023 | 5,879 | $468K | |
| 2024incomplete | 4,855 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 36% | 1,914 | 737 | $323K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 849 | 369 | $113K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 1,202 | 1,177 | $66K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 608 | 192 | $65K |
| D0140 | Limited oral evaluation - problem focused | 6.6% | 1,259 | 1,156 | $58K |
| D1110 | Prophylaxis - adult | 6.4% | 881 | 859 | $57K |
| D1206 | Topical application of fluoride varnish | 4.1% | 1,463 | 1,432 | $37K |
| D7510 | 3.1% | 587 | 424 | $28K | |
| D0330 | Panoramic radiographic image | 3.1% | 606 | 600 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 827 | 814 | $26K |
| D0274 | Bitewings - four radiographic images | 2.7% | 1,005 | 985 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 356 | 348 | $16K |
8 more codes
| D7230 | 1.8% | 70 | $16K | |
| D2335 | 1.5% | 76 | $13K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 19 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 44 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 205 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 222 | $2K |
| D4355 | <1% | 16 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 17 | $246.30 |
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 officialTESSEMA, DEREJEW (DENTIST)