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FRANK J. BIANCA DDS
NPI 1609008242
Dentist in Bowie, MD

Active since August 16, 2009Opted out of Medicare · through May 12, 2028
12704 HOLIDAY LN, BOWIE, MD 20716(301) 262-2252 Get Directions Write a Review

NPPES record last updated: August 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frank J. Bianca Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRANK J. BIANCA DDS (NPI 1609008242) is an individual dentist in Bowie, Maryland, licensed in Maryland (4137) and active in the NPI registry since August 2009. He has opted out of Medicare through May 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609008242
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameFRANK J. BIANCACredential: DDS
Location Address12704 HOLIDAY LNBowie, MD 20716-1198
Mailing Address12704 Holiday LnBowie, MD 20716-1198 · (301) 262-2252
Phone(301) 262-2252
Sole ProprietorYes
Enumeration DateAugust 16, 2009
✔ NPI 1609008242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 4137
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12704 HOLIDAY LN, Bowie, MD 20716
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Frank J. Bianca Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 12, 2016 through May 12, 2028.

Opt-Out Effective DateMay 12, 2016
Opt-Out In Effect ThroughMay 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frank Bianca's NPI number?

The NPI number for Frank Bianca is 1609008242. It was assigned to this individual provider in the NPPES registry on August 16, 2009.

Where is Frank Bianca located?

Frank Bianca practices at 12704 Holiday Ln, Bowie, MD 20716. The listed phone number is (301) 262-2252.

What is Frank Bianca's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Frank Bianca enrolled in Medicare?

No. Frank Bianca has opted out of Medicare through May 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Frank Bianca accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Frank Bianca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frank Bianca was last updated on August 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.