MACK ENDODONTICS DDS P.C.
NPI: 1558659516
· MEMPHIS, TN 38119
· Endodontist
· NPI assigned 07/12/2011
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | MACK, EDWARD (OWNER/DENTIST) |
| NPI Enumeration Date | 07/12/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,602 |
$156K |
| 2019 |
1,894 |
$191K |
| 2020 |
1,479 |
$139K |
| 2021 |
1,910 |
$191K |
| 2022 |
1,769 |
$200K |
| 2023 |
245 |
$27K |
| 2024 |
2,034 |
$232K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
1,519 |
1,236 |
$756K |
| D2950 |
|
2,304 |
1,726 |
$263K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,146 |
2,096 |
$61K |
| D0220 |
Intraoral - periapical first radiographic image |
4,561 |
3,966 |
$54K |
| D0230 |
Intraoral - periapical each additional radiographic image |
284 |
194 |
$3K |
| D0380 |
|
119 |
107 |
$0.00 |