Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ENDODONTICS OF GAITHERSBURG, LLC

NPI: 1568021012 · GAITHERSBURG, MD 20878 · Endodontist · NPI assigned 06/09/2019

$431K
Total Medicaid Paid
4,152
Total Claims
3,709
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEGHTESADI, ALI (ENDODONTIST/OWNER)
NPI Enumeration Date06/09/2019

Related Entities

Other providers sharing the same authorized official: EGHTESADI, ALI

ProviderCityStateTotal Paid
GEORGETOWNE PARK ENDODONTICS ROCKVILLE MD $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,844 $177K
2024 2,308 $255K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 404 371 $301K
D0140 Limited oral evaluation - problem focused 1,531 1,382 $72K
D3320 54 45 $35K
D0220 Intraoral - periapical first radiographic image 1,818 1,573 $21K
D0230 Intraoral - periapical each additional radiographic image 345 338 $3K