NPI: 1053482414 · HIGHLAND PARK, IL 60035 · General Practice Dentistry · NPI assigned 11/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 79 | $2K |
| 2019 | 334 | $8K |
| 2020 | 175 | $4K |
| 2021 | 63 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 330 | 292 | $7K |
| D1120 | Prophylaxis - child | 112 | 109 | $4K |
| D1206 | Topical application of fluoride varnish | 131 | 118 | $3K |
| D1110 | Prophylaxis - adult | 66 | 59 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $67.20 |