NPI: 1023561271 · FRANKFORT, IL 60423 · Dentist · NPI assigned 07/24/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 206 | $5K |
| 2019 | 183 | $3K |
| 2020 | 159 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 60 | 60 | $2K |
| D0120 | Periodic oral evaluation - established patient | 92 | 86 | $2K |
| D1110 | Prophylaxis - adult | 41 | 39 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 52 | 52 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 64 | 60 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 207 | 182 | $1K |
| D0272 | Bitewings - two radiographic images | 32 | 30 | $300.80 |