ANNA GAZU DDS PA
NPI: 1356955728
· CLIFTON, NJ 07011
· General Practice Dentistry
· NPI assigned 09/03/2020
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | JOSAN, MANDEEP (MANAGER) |
| NPI Enumeration Date | 09/03/2020 |
Related Entities
Other providers sharing the same authorized official: JOSAN, MANDEEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
44 |
$0.00 |
| 2021 |
1,325 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
299 |
298 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
36 |
36 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
43 |
$0.00 |
| D1120 |
Prophylaxis - child |
22 |
22 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
454 |
452 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
362 |
361 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
45 |
42 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
71 |
48 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
23 |
$0.00 |