ORLANDO ENDODONTIC SPECIALISTS SOUTH
NPI: 1659638484
· ORLANDO, FL 32803
· Endodontist
· NPI assigned 04/18/2012
$1.07M
Total Medicaid Paid
Provider Details
| Authorized Official | DIAZ, MARIE (INSURANCE FRONT DESK) |
| Parent Organization | ORLANDO ENDODONTIC SPECIALISTS SOUTH |
| NPI Enumeration Date | 04/18/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$26K |
| 2021 |
48 |
$49K |
| 2022 |
630 |
$332K |
| 2023 |
1,524 |
$399K |
| 2024 |
1,747 |
$267K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
1,379 |
1,047 |
$1.04M |
| D0140 |
Limited oral evaluation - problem focused |
719 |
701 |
$16K |
| D3310 |
|
27 |
12 |
$11K |
| D9310 |
|
409 |
400 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
1,243 |
1,207 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
127 |
102 |
$370.50 |
| D0270 |
|
12 |
12 |
$44.72 |
| D0460 |
|
73 |
68 |
$0.00 |