CHEEKS, CARL
NPI: 1053369363
· EVANSTON, IL 60201
· General Practice Dentistry
· NPI assigned 05/05/2006
$393K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,759 |
$210K |
| 2019 |
7,637 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,220 |
3,149 |
$114K |
| D1351 |
Sealant - per tooth |
2,823 |
1,412 |
$110K |
| D0120 |
Periodic oral evaluation - established patient |
3,676 |
3,604 |
$100K |
| D1206 |
Topical application of fluoride varnish |
3,249 |
3,178 |
$70K |
| D0601 |
|
2,394 |
2,338 |
$0.00 |
| D0602 |
|
989 |
972 |
$0.00 |
| D0603 |
|
45 |
45 |
$0.00 |