EASTERN IDAHO ENDODONTICS
NPI: 1427618958
· IDAHO FALLS, ID 83404
· Endodontist
· NPI assigned 06/17/2019
$386.63
Total Medicaid Paid
Provider Details
| Authorized Official | MORRISON, BART (OWNER/ENDODONTISTS) |
| NPI Enumeration Date | 06/17/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$386.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
16 |
16 |
$357.37 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$29.26 |