Dental
Capitol Endodontics, PLLC
Capitol Endodontics, PLLC was paid $969.00 by Medicaid between Aug 2018 and Aug 2018, across 1 billing code. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoCAPITOL ENDODONTICS, PLLC
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1518330463assigned 11/01/2015
33bProvider typeEndodontist
28Total paid$969.00
24GClaims17
24DCodes billed1
24AFirst – last monthAug 2018 – Aug 2018
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17 | $969.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 17 | 14 | $969.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBOUSTANY, AMANDA (OWNER)