GREAT RIVER ENDODONTICS, PA
NPI: 1861708828
· SAINT CLOUD, MN 56301
· Endodontist
· NPI assigned 08/27/2010
$325K
Total Medicaid Paid
Provider Details
| Authorized Official | KARN, THOMAS (OWNER/PRESIDENT) |
| NPI Enumeration Date | 08/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
414 |
$2K |
| 2019 |
269 |
$11K |
| 2020 |
1,058 |
$103K |
| 2021 |
1,888 |
$184K |
| 2022 |
74 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
181 |
172 |
$187K |
| D0140 |
Limited oral evaluation - problem focused |
1,251 |
1,204 |
$65K |
| D3320 |
|
37 |
33 |
$34K |
| D0220 |
Intraoral - periapical first radiographic image |
1,264 |
1,202 |
$25K |
| D3310 |
|
17 |
14 |
$13K |
| D9985 |
|
925 |
834 |
$0.00 |
| D0270 |
|
28 |
28 |
$0.00 |