ENDODONTIC ASSOCIATES LIMITED
NPI: 1528117488
· COON RAPIDS, MN 55433
· Endodontist
· NPI assigned 01/09/2007
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | DABELOW, DIONNE (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$756.53 |
| 2019 |
85 |
$22K |
| 2020 |
417 |
$172K |
| 2021 |
1,287 |
$614K |
| 2022 |
454 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
626 |
575 |
$586K |
| D3320 |
|
251 |
233 |
$238K |
| D3310 |
|
159 |
123 |
$129K |
| D0140 |
Limited oral evaluation - problem focused |
697 |
690 |
$40K |
| D0220 |
Intraoral - periapical first radiographic image |
704 |
697 |
$16K |