Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › EL PASO › VISCOUNT ENDODONTIC GROUP PLLC

VISCOUNT ENDODONTIC GROUP PLLC

NPI: 1750815882 · EL PASO, TX 79925 · Endodontist · NPI assigned 04/15/2017

$9K
Total Medicaid Paid
790
Total Claims
695
Beneficiaries
5
Codes Billed
2021-09
First Month
2023-03
Last Month

Provider Details

Authorized OfficialXU, ANDREW (MAMBER MANAGER)
NPI Enumeration Date04/15/2017

Related Entities

Other providers sharing the same authorized official: XU, ANDREW

ProviderCityStateTotal Paid
AMERICAS DENTAL GROUP, PLLC EL PASO TX $36K
YARBROUGH DENTAL GROUP, PLLC EL PASO TX $19K
YUKON DENTAL GROUP PLLC YUKON OK $632.79

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 70 $718.69
2022 485 $6K
2023 235 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 412 338 $5K
D0140 Limited oral evaluation - problem focused 130 122 $2K
D0460 101 97 $1K
D0270 135 126 $653.80
D0380 12 12 $0.00