POST OFFICE LAKE DENTAL ASSOCIATES
NPI: 1962663203
· WALDORF, MD 20602
· General Practice Dentistry
· NPI assigned 06/19/2008
$336K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, KAMEASA (OFFICE CONTACT) |
| NPI Enumeration Date | 06/19/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,884 |
$90K |
| 2019 |
1,249 |
$66K |
| 2020 |
628 |
$36K |
| 2021 |
735 |
$52K |
| 2022 |
766 |
$53K |
| 2023 |
303 |
$19K |
| 2024 |
321 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,133 |
2,999 |
$231K |
| D8660 |
|
170 |
162 |
$24K |
| D9310 |
|
508 |
480 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
530 |
527 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
622 |
608 |
$14K |
| D1120 |
Prophylaxis - child |
242 |
240 |
$10K |
| D1110 |
Prophylaxis - adult |
101 |
100 |
$6K |
| D1351 |
Sealant - per tooth |
158 |
16 |
$5K |
| D0272 |
Bitewings - two radiographic images |
188 |
188 |
$3K |
| D1330 |
|
222 |
221 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$618.00 |