Medicaid Provider Spending

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

OCOTILLO LAKES ENDODONTICS, LLC

NPI: 1275005688 · CHANDLER, AZ 85248 · Endodontist · NPI assigned 12/24/2018

$35K
Total Medicaid Paid
828
Total Claims
762
Beneficiaries
3
Codes Billed
2023-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIRJANI, MASOOD (ENDODONTIST, OWNER)
NPI Enumeration Date12/24/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 354 $15K
2024 474 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 46 41 $18K
D0140 Limited oral evaluation - problem focused 367 345 $12K
D0220 Intraoral - periapical first radiographic image 415 376 $5K