ANGAMUTHU & ASSOCIATES, D.D.S., P.A.
NPI: 1437360971
· GAITHERSBURG, MD 20879
· General Practice Dentistry
· NPI assigned 05/25/2007
$144K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ANGAMUTHU, VIJAYALAKSHMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
309 |
$12K |
| 2019 |
185 |
$6K |
| 2020 |
358 |
$32K |
| 2021 |
351 |
$19K |
| 2022 |
565 |
$15K |
| 2023 |
1,097 |
$49K |
| 2024 |
187 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
166 |
55 |
$24K |
| D1206 |
Topical application of fluoride varnish |
815 |
800 |
$20K |
| D1110 |
Prophylaxis - adult |
287 |
280 |
$18K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
127 |
53 |
$16K |
| D4355 |
|
162 |
157 |
$16K |
| D1120 |
Prophylaxis - child |
292 |
289 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
401 |
395 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
225 |
216 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
168 |
159 |
$9K |
| D0274 |
Bitewings - four radiographic images |
80 |
80 |
$2K |
| D1330 |
|
315 |
309 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$604.80 |