INTERCOASTAL ENDO, PC
NPI: 1881007946
· MYRTLE BEACH, SC 29577
· Endodontist
· NPI assigned 06/06/2014
Provider Details
| Authorized Official | CONARD, MARK (PRESIDENT) |
| NPI Enumeration Date | 06/06/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
365 |
$20K |
| 2019 |
60 |
$2K |
| 2020 |
34 |
$795.60 |
| 2021 |
40 |
$872.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
24 |
24 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
207 |
207 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
268 |
267 |
$3K |