Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SUMMERVILLE › LIVE OAK ENDONTICS

LIVE OAK ENDONTICS

NPI: 1598457715 · SUMMERVILLE, SC 29486 · Endodontist · NPI assigned 05/25/2023

$76K
Total Medicaid Paid
1,163
Total Claims
1,150
Beneficiaries
4
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAZZLE, ANGELA (OPERATIONS MANAGER)
NPI Enumeration Date05/25/2023

Related Entities

Other providers sharing the same authorized official: BAZZLE, ANGELA

ProviderCityStateTotal Paid
SFD KIDS LLC SUMMERVILLE SC $2.45M
SOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC SUMMERVILLE SC $1.30M
SOLOMON ORAL SURGERY LLC MOUNT PLEASANT SC $1.23M
SFD CARNES LLC SUMMERVILLE SC $588K
SFD MT. PLEASANT LLC MOUNT PLEASANT SC $337K
SFD KNIGHTSVILLE LLC SUMMERVILLE SC $327K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 483 $35K
2024 680 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0364 268 263 $36K
D9310 486 482 $29K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 12 12 $6K
D0220 Intraoral - periapical first radiographic image 397 393 $5K