Medicaid Provider Spending

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

NPI: 1225399108 · ELLINGTON, CT 06029 · Endodontist · NPI assigned 06/06/2012

$17K
Total Medicaid Paid
444
Total Claims
384
Beneficiaries
4
Codes Billed
2020-06
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMOLINE, STANISLAV (MANAGER)
NPI Enumeration Date06/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 153 $4K
2021 79 $3K
2022 170 $8K
2023 28 $1K
2024 14 $658.56

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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