LGM DDS LLC

LGM DDS LLC was paid $17K by Medicaid between Feb 2018 and Oct 2020, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 41% of everything it billed.

33Billing provider infoLGM DDS LLC
ELKRIDGE, MD 21075

33aNPI1861824104assigned 08/08/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims593

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#382 of 598

Median peer was paid$42K

This provider vs. median0.4×

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
2018	166	$5K
2019	220	$6K
2020	207	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	41%	289	282	$7K
D1120	Dental cleaning, childProphylaxis - child	28%	114	114	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	149	147	$4K
D1110	Prophylaxis - adult	4.4%	13	13	$755.95
D1330		<1%	28	26	$156.00

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 officialGOITOM, MEHRET (OFFICE MANAGER)