LA ENDODONTICS, A PROFESSIONAL CORPORATION
NPI: 1528535572
· TARZANA, CA 91356
· Dentist
· NPI assigned 10/29/2018
$126K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
429 |
$7K |
| 2020 |
1,708 |
$94K |
| 2021 |
481 |
$17K |
| 2022 |
164 |
$3K |
| 2023 |
107 |
$1K |
| 2024 |
245 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
140 |
123 |
$77K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
528 |
522 |
$34K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,480 |
568 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
549 |
410 |
$6K |
| D0272 |
Bitewings - two radiographic images |
299 |
294 |
$3K |
| D1999 |
|
59 |
43 |
$270.00 |
| D0270 |
|
64 |
64 |
$215.00 |
| D0460 |
|
15 |
15 |
$0.00 |