PROFESSIONAL ENDODONTICS
NPI: 1679797609
· SOUTHFIELD, MI 48034
· Endodontist
· NPI assigned 04/12/2007
$462K
Total Medicaid Paid
Provider Details
| Authorized Official | SHOHA, DOMINICK (PRESIDENT) |
| NPI Enumeration Date | 04/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
166 |
$32K |
| 2020 |
599 |
$105K |
| 2021 |
949 |
$195K |
| 2022 |
569 |
$131K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
543 |
518 |
$390K |
| D0140 |
Limited oral evaluation - problem focused |
869 |
864 |
$56K |
| D0220 |
Intraoral - periapical first radiographic image |
871 |
867 |
$16K |