AGN DENTAL PRACTICES, PC
NPI: 1558831438
· EATONTOWN, NJ 07724
· Dentist
· NPI assigned 12/04/2018
Provider Details
| Authorized Official | GIZACHEW, ADMASU (PRESIDENT/OWNER) |
| Parent Organization | AGN DENTAL PRACTICES, PC |
| NPI Enumeration Date | 12/04/2018 |
Related Entities
Other providers sharing the same authorized official: GIZACHEW, ADMASU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$480.00 |
| 2024 |
554 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
87 |
$3K |
| D1110 |
Prophylaxis - adult |
53 |
53 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
42 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
181 |
154 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
164 |
101 |
$678.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$160.00 |