DR. BENJAMIN MARTIN DMD
NPI 1992489413
Dentist in Augusta, ME

NPI Status: Active since June 14, 2023

Contact Information

6 E CHESTNUT ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-3400

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  • Individual
  • Male
  • Years of Experience 7
  • Dentist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About BENJAMIN MARTIN

This page provides the complete NPI Profile along with additional information for Benjamin Martin, a provider established in Augusta, Maine with a medical specialization in Dentist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1992489413 assigned on June 2023. The practitioner's primary taxonomy code is 122300000X with license number DEN5043 (ME). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1992489413
Provider Name
DR. BENJAMIN MARTIN DMD
Gender
Male
Entity Type
Individual
Location Address
6 E CHESTNUT ST AUGUSTA, ME 04330
Location Phone
(207) 623-3400
Mailing Address
115 FOREST ST WESTBROOK, ME 04092
Mailing Phone
(207) 651-2847
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
06-14-2023
Last Update Date
06-14-2023
Code Navigator

A dentist like Benjamin Martin is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DEN5043
License State
ME
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Dental Family - PPO
  • Anthem Dental Family Enhanced - PPO
  • Anthem Dental Family Preventive - PPO
  • Anthem Dental Family Value - PPO
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Superior Dental Plan - PPO
  • BEST Life Essental Preferred Dental Plan - PPO
  • BEST Life Essental Value Dental Plan - PPO
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Basic Dental - PPO
  • BEST Life Essential Basic Dental Plan - Indemnity
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Essential Value Dental - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Benjamin Martin is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Benjamin Martin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456865278

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250709004087

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04330 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.58
  • Minimum New Patient Price $53.26
  • Maximum New Patient Price $162.77
  • Average New Patient Copayment $20.64
  • Minimum New Patient Copayment $13.31
  • Maximum New Patient Copayment $40.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.74
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $132.79
  • Average Established Patient Copayment $16.68
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $33.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. BENJAMIN MARTIN DMD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992489413, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 8 + 8 + 1 + 8 + 4 + 2 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1992489413.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
6 E CHESTNUT ST, MGMC PHARMACY
AUGUSTA, ME 04330
Psychiatry & Neurology (Psychiatry)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Family Medicine
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Hospitalist
6 E CHESTNUT ST
AUGUSTA, ME 04330
Emergency Medicine
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Emergency Medicine
6 E CHESTNUT ST
AUGUSTA, ME 04330
Emergency Medicine
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Emergency Medicine
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant (Surgical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Social Worker (Clinical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Internal Medicine (Gastroenterology)
6 E CHESTNUT ST, SUITE C-3
AUGUSTA, ME 04330
Hospitalist
6 E CHESTNUT ST, MGHA HOSPITALIST PROGRAM
AUGUSTA, ME 04330
Hospitalist
6 E CHESTNUT ST
AUGUSTA, ME 04330
Hospitalist
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Physician Assistant
6 E CHESTNUT ST, MGHA HOSPITALIST PROGRAM
AUGUSTA, ME 04330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992489413, enumerated as an "individual" on June 14, 2023.

The provider is located at 6 E CHESTNUT ST AUGUSTA, ME 04330 and the phone number is (207) 623-3400.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.