Medicaid Provider Spending

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

CENTRAL ENDODONTICS INC

NPI: 1326266198 · SOUTH GATE, CA 90280 · Endodontist · NPI assigned 04/24/2007

$9K
Total Medicaid Paid
183
Total Claims
168
Beneficiaries
4
Codes Billed
2018-09
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLOO, KWOR (PRESIDENT)
NPI Enumeration Date04/24/2007

Related Entities

Other providers sharing the same authorized official: LOO, KWOR

ProviderCityStateTotal Paid
FRIENDLY ENDODONTICS INC WEST COVINA CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $637.00
2020 28 $2K
2021 14 $804.00
2022 29 $1K
2023 43 $3K
2024 32 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 131 129 $9K
D0330 Panoramic radiographic image 23 13 $507.00
D0220 Intraoral - periapical first radiographic image 14 13 $130.00
D0230 Intraoral - periapical each additional radiographic image 15 13 $84.70