ENDODONTIC AND PERIODONTIC SPECIALISTS
NPI: 1881961076
· RICHARDSON, TX 75081
· Endodontist
· NPI assigned 11/16/2011
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | ORTIZ, JAVIER (ENDODONTIST/PARTNER) |
| NPI Enumeration Date | 11/16/2011 |
Related Entities
Other providers sharing the same authorized official: ORTIZ, JAVIER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$251.20 |
| 2021 |
205 |
$3K |
| 2022 |
1,727 |
$51K |
| 2023 |
1,567 |
$85K |
| 2024 |
833 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
106 |
84 |
$61K |
| D2950 |
|
676 |
516 |
$29K |
| D0367 |
|
78 |
78 |
$16K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
554 |
528 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
928 |
916 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
966 |
954 |
$11K |
| D0330 |
Panoramic radiographic image |
91 |
91 |
$6K |
| D0340 |
|
91 |
91 |
$3K |
| D0270 |
|
512 |
501 |
$3K |
| D0160 |
|
104 |
104 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
250 |
222 |
$977.33 |