NPI: 1043339351 · SWANSEA, IL 62226 · Dentist · NPI assigned 03/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,318 | $210K |
| 2019 | 15,652 | $327K |
| 2020 | 1,132 | $34K |
| 2021 | 10,217 | $300K |
| 2022 | 11,789 | $341K |
| 2023 | 13,394 | $396K |
| 2024 | 13,148 | $346K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 17,217 | 16,897 | $697K |
| D1206 | Topical application of fluoride varnish | 17,497 | 17,167 | $445K |
| D0120 | Periodic oral evaluation - established patient | 16,583 | 16,284 | $402K |
| D1351 | Sealant - per tooth | 5,580 | 2,305 | $376K |
| D0601 | 13,517 | 13,149 | $26K | |
| D0602 | 3,256 | 3,196 | $8K |