Medicaid Provider Spending

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

WEST VALLEY ENDODONTICS AND ORAL SURGERY INC

NPI: 1295281525 · GOODYEAR, AZ 85395 · Endodontist · NPI assigned 08/28/2016

$1K
Total Medicaid Paid
1,048
Total Claims
967
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialRUIZ, MARY (REGIONAL MANAGER)
NPI Enumeration Date08/28/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 748 $685.99
2019 178 $372.73
2020 43 $155.70
2021 53 $52.56
2023 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 362 349 $682.52
D0140 Limited oral evaluation - problem focused 477 471 $518.88
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 44 38 $52.56
D0220 Intraoral - periapical first radiographic image 45 44 $13.02
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 81 40 $0.00
D7240 Removal of impacted tooth - completely bony 26 12 $0.00
D9222 13 13 $0.00