CHARLES M SPATZ
NPI: 1801170923
· NEW HAVEN, CT 06511
· Dentist
· NPI assigned 10/07/2011
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | SPATZ, CHARLES (DENTIST) |
| NPI Enumeration Date | 10/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
575 |
$20K |
| 2019 |
822 |
$32K |
| 2020 |
426 |
$18K |
| 2021 |
323 |
$12K |
| 2022 |
506 |
$21K |
| 2023 |
243 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
1,184 |
835 |
$71K |
| D0140 |
Limited oral evaluation - problem focused |
998 |
908 |
$25K |
| D0220 |
Intraoral - periapical first radiographic image |
506 |
486 |
$5K |
| D3310 |
|
16 |
12 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
24 |
24 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
124 |
123 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
22 |
$469.71 |