Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GEORGETOWNE PARK ENDODONTICS

NPI: 1831758382 · ROCKVILLE, MD 20852 · Endodontist · NPI assigned 06/09/2019

$74K
Total Medicaid Paid
1,129
Total Claims
1,003
Beneficiaries
5
Codes Billed
2023-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEGHTESADI, ALI (ENDODONTIST / OWNER)
NPI Enumeration Date06/09/2019

Related Entities

Other providers sharing the same authorized official: EGHTESADI, ALI

ProviderCityStateTotal Paid
ENDODONTICS OF GAITHERSBURG, LLC GAITHERSBURG MD $431K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 356 $29K
2024 773 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 43 40 $32K
D0140 Limited oral evaluation - problem focused 509 445 $24K
D3320 17 14 $11K
D0220 Intraoral - periapical first radiographic image 545 490 $6K
D0230 Intraoral - periapical each additional radiographic image 15 14 $118.08