DENTAL CENTER OF ASPEN HILL, LLC
NPI: 1922431428
· SILVER SPRING, MD 20906
· General Practice Dentistry
· NPI assigned 08/20/2013
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | ALLAFI, CYRUS (PRESIDENT) |
| NPI Enumeration Date | 08/20/2013 |
Related Entities
Other providers sharing the same authorized official: ALLAFI, CYRUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
961 |
$27K |
| 2020 |
1,798 |
$53K |
| 2021 |
2,144 |
$64K |
| 2022 |
763 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
985 |
970 |
$41K |
| D1206 |
Topical application of fluoride varnish |
1,438 |
1,407 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
1,157 |
1,138 |
$33K |
| D1351 |
Sealant - per tooth |
664 |
127 |
$22K |
| D1110 |
Prophylaxis - adult |
263 |
259 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
114 |
110 |
$6K |
| D1330 |
|
775 |
755 |
$5K |
| D0274 |
Bitewings - four radiographic images |
177 |
169 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
35 |
35 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$391.00 |
| D0272 |
Bitewings - two radiographic images |
24 |
24 |
$360.00 |