AMERICAN DENTAL GROUP LLC
NPI: 1386940096
· ELIZABETH, NJ 07201
· General Practice Dentistry
· NPI assigned 01/28/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
116 |
$1K |
| 2019 |
221 |
$4K |
| 2020 |
33 |
$303.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
133 |
133 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
171 |
170 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$283.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$258.00 |