ANNAPOLIS GREEN DENTAL
NPI: 1992117683
· ANNAPOLIS, MD 21401
· General Practice Dentistry
· NPI assigned 05/29/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHULTHEIS, GENA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$727.00 |
| 2019 |
49 |
$1K |
| 2020 |
56 |
$1K |
| 2021 |
27 |
$957.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
104 |
97 |
$3K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$264.00 |
| D1330 |
|
15 |
15 |
$90.00 |