NPI: 1053476994 · FRANKFORT, IL 60423 · Dentist · NPI assigned 12/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 877 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 165 | 156 | $6K |
| D0120 | Periodic oral evaluation - established patient | 229 | 209 | $5K |
| D0274 | Bitewings - four radiographic images | 200 | 182 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 97 | 93 | $2K |
| D1110 | Prophylaxis - adult | 73 | 62 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 60 | 58 | $1K |
| D0272 | Bitewings - two radiographic images | 53 | 49 | $451.20 |