SAMUEL BLACK, DMD, PHD, PC
NPI: 1376953901
· LYNCHBURG, VA 24501
· Endodontist
· NPI assigned 05/05/2014
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | BLACK, SAMUEL (PRESIDENT) |
| NPI Enumeration Date | 05/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
534 |
$101K |
| 2019 |
516 |
$89K |
| 2020 |
426 |
$48K |
| 2021 |
264 |
$14K |
| 2022 |
74 |
$1K |
| 2023 |
27 |
$623.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
305 |
288 |
$198K |
| D2950 |
|
366 |
339 |
$38K |
| D0220 |
Intraoral - periapical first radiographic image |
818 |
813 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
352 |
351 |
$9K |