CREEKSIDE ENDODONTICS, LLC
NPI: 1144608282
· LONE TREE, CO 80124
· Dental Clinic/Center
· NPI assigned 05/08/2015
$1.06M
Total Medicaid Paid
Provider Details
| Authorized Official | STUBBS, ANDREW ()WNER) |
| NPI Enumeration Date | 05/08/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,406 |
$127K |
| 2019 |
1,408 |
$100K |
| 2020 |
1,294 |
$46K |
| 2021 |
1,431 |
$67K |
| 2022 |
2,018 |
$122K |
| 2023 |
1,856 |
$121K |
| 2024 |
2,836 |
$475K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
1,116 |
1,009 |
$615K |
| D0140 |
Limited oral evaluation - problem focused |
4,028 |
3,781 |
$144K |
| D3348 |
|
118 |
112 |
$124K |
| D0380 |
|
385 |
385 |
$55K |
| D0220 |
Intraoral - periapical first radiographic image |
3,893 |
3,662 |
$49K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,449 |
2,388 |
$31K |
| D3347 |
|
27 |
25 |
$28K |
| D0330 |
Panoramic radiographic image |
204 |
204 |
$11K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
29 |
25 |
$882.89 |