Medicaid Provider Spending

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

FRIENDLY ENDODONTICS INC

NPI: 1891912168 · WEST COVINA, CA 91790 · Endodontist · NPI assigned 04/19/2007

$12K
Total Medicaid Paid
463
Total Claims
457
Beneficiaries
4
Codes Billed
2021-07
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLOO, KWOR (PRESIDENT)
NPI Enumeration Date04/19/2007

Related Entities

Other providers sharing the same authorized official: LOO, KWOR

ProviderCityStateTotal Paid
CENTRAL ENDODONTICS INC SOUTH GATE CA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $234.65
2022 69 $1K
2023 287 $8K
2024 81 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 126 126 $9K
D0220 Intraoral - periapical first radiographic image 212 206 $3K
D0230 Intraoral - periapical each additional radiographic image 111 111 $686.45
D0272 Bitewings - two radiographic images 14 14 $64.00