SEABREEZE ENDODONTICS, PA
NPI: 1457914129
· NICEVILLE, FL 32578
· Endodontist
· NPI assigned 04/18/2019
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | HANSON, SHANE (PRESIDENT) |
| NPI Enumeration Date | 04/18/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
218 |
$10K |
| 2023 |
613 |
$98K |
| 2024 |
266 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
67 |
58 |
$83K |
| D0140 |
Limited oral evaluation - problem focused |
319 |
299 |
$29K |
| D2950 |
|
167 |
122 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
544 |
412 |
$525.00 |