Once the type handlers are registered, everything should work automatically, and you should be able to use these types as either parameters or return values:
string redmond = "POINT (122.1215 47.6740)";
DbGeography point = DbGeography.PointFromText(redmond,
DbGeography.DefaultCoordinateSystemId);
DbGeography orig = point.Buffer(20); // create a circle around a point
var fromDb = connection.QuerySingle<DbGeography>(
"declare @geos table(geo geography); insert @geos(geo) values(@val); select * from @geos",
new { val = orig });
Console.WriteLine($"Original area: {orig.Area}");
Console.WriteLine($"From DB area: {fromDb.Area}");