Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NU DENTAL OF BARNEGAT

NPI: 1689261554 · BARNEGAT, NJ 08005 · General Practice Dentistry · NPI assigned 12/28/2020

$119K
Total Medicaid Paid
2,112
Total Claims
1,835
Beneficiaries
12
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIZACHEW, ADMASU (CEO)
NPI Enumeration Date12/28/2020

Related Entities

Other providers sharing the same authorized official: GIZACHEW, ADMASU

ProviderCityStateTotal Paid
BRICK DENTAL CARE BRICK NJ $54K
AGN DENTAL PRACTICES, PC EATONTOWN NJ $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 453 $13K
2024 1,659 $106K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 133 89 $70K
D0150 Comprehensive oral evaluation - new or established patient 384 364 $14K
D0210 Intraoral - complete series of radiographic images 290 272 $14K
D1110 Prophylaxis - adult 195 181 $9K
D0120 Periodic oral evaluation - established patient 129 122 $3K
D0220 Intraoral - periapical first radiographic image 553 467 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 29 15 $2K
D2954 15 12 $1K
D0274 Bitewings - four radiographic images 80 75 $960.00
D0230 Intraoral - periapical each additional radiographic image 248 189 $960.00
D1120 Prophylaxis - child 15 12 $550.00
D0350 41 37 $38.00