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STAMMDO IMAGING AND DIAGNOSTIC, LLC
STAMMDO IMAGING AND DIAGNOSTIC, LLC
NPI: 1346910916
· ELKO, NV 89801
· Radiology Clinic/Center
· NPI assigned 09/15/2021
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | POPP, MOLLY (OPERATIONS MANAGER) |
| NPI Enumeration Date | 09/15/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
3,804 |
$111K |
| 2023 |
2,445 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0367 |
|
925 |
875 |
$137K |
| D0330 |
Panoramic radiographic image |
1,040 |
924 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,414 |
1,258 |
$13K |
| D0274 |
Bitewings - four radiographic images |
665 |
620 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
310 |
287 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
226 |
191 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,387 |
1,009 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
95 |
88 |
$2K |
| D0272 |
Bitewings - two radiographic images |
102 |
94 |
$1K |
| D0270 |
|
16 |
13 |
$94.32 |
| D0350 |
|
69 |
30 |
$0.00 |