Medicaid Provider Spending

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

ALEXANDER KUTUZA D.M.D PLLC

NPI: 1346646460 · MOORESVILLE, NC 28117 · Endodontist · NPI assigned 11/17/2014

$11K
Total Medicaid Paid
186
Total Claims
160
Beneficiaries
5
Codes Billed
2019-11
First Month
2019-11
Last Month

Provider Details

Authorized OfficialZABOLOYNA-KUTUZA, ROKSOLYANA (MANAGER)
NPI Enumeration Date11/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 186 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 14 14 $6K
D0160 39 38 $3K
D2940 34 31 $1K
D0220 Intraoral - periapical first radiographic image 48 44 $702.00
D0230 Intraoral - periapical each additional radiographic image 51 33 $537.52