RCT ENDODONTICS OF NORTH POTOMAC, LLC
NPI: 1801404157
· NORTH POTOMAC, MD 20878
· Endodontist
· NPI assigned 07/22/2020
$305K
Total Medicaid Paid
Provider Details
| Authorized Official | BAGGARLY, MARY (MANAGER) |
| NPI Enumeration Date | 07/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
237 |
$21K |
| 2021 |
965 |
$69K |
| 2022 |
918 |
$107K |
| 2023 |
895 |
$100K |
| 2024 |
374 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
339 |
307 |
$251K |
| D0140 |
Limited oral evaluation - problem focused |
747 |
714 |
$33K |
| D0220 |
Intraoral - periapical first radiographic image |
1,422 |
1,229 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
840 |
742 |
$5K |
| D9310 |
|
28 |
28 |
$1K |
| D0460 |
|
13 |
13 |
$130.00 |