ENDODONTIC SPECIALISTS LLC
NPI: 1225399108
· ELLINGTON, CT 06029
· Endodontist
· NPI assigned 06/06/2012
Provider Details
| Authorized Official | MOLINE, STANISLAV (MANAGER) |
| NPI Enumeration Date | 06/06/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
153 |
$4K |
| 2021 |
79 |
$3K |
| 2022 |
170 |
$8K |
| 2023 |
28 |
$1K |
| 2024 |
14 |
$658.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0140 |
Limited oral evaluation - problem focused |
338 |
285 |
$14K |
| D3950 |
|
16 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
53 |
$976.60 |
| D9995 |
|
35 |
34 |
$0.00 |