ROGUE RIVER ENDODONTICS
NPI: 1477645794
· GRANTS PASS, OR 97527
· Dental Clinic/Center
· NPI assigned 09/28/2006
$922K
Total Medicaid Paid
Provider Details
| Authorized Official | DRYDEN, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 09/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
816 |
$76K |
| 2019 |
738 |
$125K |
| 2020 |
452 |
$55K |
| 2021 |
358 |
$43K |
| 2022 |
391 |
$31K |
| 2023 |
1,429 |
$194K |
| 2024 |
2,290 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
317 |
279 |
$398K |
| D0140 |
Limited oral evaluation - problem focused |
1,961 |
1,743 |
$271K |
| D0220 |
Intraoral - periapical first radiographic image |
2,561 |
2,216 |
$86K |
| D3320 |
|
49 |
47 |
$67K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
259 |
218 |
$42K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,274 |
1,042 |
$34K |
| D3310 |
|
14 |
13 |
$17K |
| D9310 |
|
39 |
38 |
$7K |