ORLANDO ENDODONTIC SPECIALISTS-EAST
NPI: 1396060430
· ORLANDO, FL 32828
· Endodontist
· NPI assigned 04/01/2010
$586K
Total Medicaid Paid
Provider Details
| Authorized Official | BOBO, SUSIE (OFFICE MANAGER) |
| NPI Enumeration Date | 04/01/2010 |
Related Entities
Other providers sharing the same authorized official: BOBO, SUSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$28K |
| 2021 |
27 |
$18K |
| 2022 |
264 |
$146K |
| 2023 |
1,090 |
$270K |
| 2024 |
746 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
786 |
653 |
$579K |
| D0140 |
Limited oral evaluation - problem focused |
291 |
284 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
920 |
889 |
$2K |
| D9310 |
|
77 |
77 |
$1K |
| D0270 |
|
42 |
38 |
$125.00 |
| D0460 |
|
51 |
47 |
$0.00 |