GANG, VANESSA
NPI: 1962863639
· NEW BRUNSWICK, NJ 08901
· Dentist
· NPI assigned 03/09/2016
$94.10
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$94.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
14 |
14 |
$64.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$16.25 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$13.05 |