GIZACHEW, ADMASU
NPI: 1295072973
· BRICK, NJ 08724
· Dentist
· NPI assigned 01/14/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
660 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
159 |
159 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
80 |
80 |
$2K |
| D0274 |
Bitewings - four radiographic images |
85 |
85 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
200 |
197 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
122 |
122 |
$378.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$168.00 |