WEST VALLEY ENDODONTICS AND ORAL SURGERY PLLC
NPI: 1619444833
· GOODYEAR, AZ 85395
· Endodontist
· NPI assigned 10/25/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, RANDEE (OFFICE MANAGER) |
| NPI Enumeration Date | 10/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
38 |
$0.00 |
| 2021 |
209 |
$0.00 |
| 2022 |
105 |
$0.00 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
208 |
198 |
$0.00 |
| D0330 |
Panoramic radiographic image |
157 |
126 |
$0.00 |