Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAGLE ENDODONTICS, INC

NPI: 1215379375 · LEXINGTON, MA 02421 · Endodontist · NPI assigned 07/17/2013

$11K
Total Medicaid Paid
134
Total Claims
119
Beneficiaries
3
Codes Billed
2019-03
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSARRAF, ALI (PRESIDENT)
NPI Enumeration Date07/17/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $242.00
2020 65 $1K
2021 56 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 15 14 $8K
D0220 Intraoral - periapical first radiographic image 106 92 $2K
D0140 Limited oral evaluation - problem focused 13 13 $479.00