IDEAL ENDODONTICS PLLC
NPI: 1275031486
· WASHINGTON, DC 20036
· Endodontist
· NPI assigned 01/23/2018
$500K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$2K |
| 2019 |
183 |
$6K |
| 2020 |
94 |
$3K |
| 2021 |
188 |
$11K |
| 2022 |
353 |
$18K |
| 2023 |
2,259 |
$306K |
| 2024 |
849 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
363 |
313 |
$203K |
| D0364 |
|
902 |
873 |
$167K |
| D9310 |
|
713 |
705 |
$64K |
| D0460 |
|
1,115 |
1,065 |
$30K |
| D0140 |
Limited oral evaluation - problem focused |
406 |
374 |
$17K |
| D3320 |
|
32 |
25 |
$13K |
| D0270 |
|
237 |
212 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
151 |
137 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
66 |
42 |
$696.80 |