NOVA SOUTHEASTERN UNIVERSITY
NPI: 1275878241
· WILTON MANORS, FL 33305
· Endodontist
· NPI assigned 12/03/2012
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | ESTEVEZ, ROSEMERY (DIR CONTRACTING AND CRED) |
| NPI Enumeration Date | 12/03/2012 |
Related Entities
Other providers sharing the same authorized official: ESTEVEZ, ROSEMERY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,129 |
$27K |
| 2020 |
848 |
$19K |
| 2021 |
95 |
$2K |
| 2022 |
577 |
$18K |
| 2023 |
618 |
$27K |
| 2024 |
498 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
807 |
798 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
439 |
435 |
$24K |
| D1206 |
Topical application of fluoride varnish |
1,005 |
998 |
$6K |
| D1330 |
|
912 |
904 |
$5K |
| D1110 |
Prophylaxis - adult |
159 |
155 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
61 |
61 |
$1K |
| D1120 |
Prophylaxis - child |
220 |
218 |
$1K |
| D8660 |
|
12 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
110 |
109 |
$254.18 |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$120.28 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$103.79 |