NPI: 1063948222 · GLENDALE HEIGHTS, IL 60139 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 502 | $4K |
| 2020 | 1,042 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 238 | 210 | $7K | |
| D0120 | 272 | 233 | $5K | |
| D1208 | 103 | 103 | $2K | |
| D2391 | 51 | 35 | $2K | |
| D1206 | 123 | 96 | $2K | |
| D0274 | 123 | 106 | $1K | |
| D2392 | 37 | 30 | $1K | |
| D1351 | 23 | 12 | $1K | |
| D0220 | 251 | 209 | $901.60 | |
| D0230 | 209 | 174 | $585.20 | |
| D7210 | 14 | 13 | $353.65 | |
| D0272 | 42 | 42 | $300.80 | |
| D9310 | 31 | 25 | $290.70 | |
| D1110 | 12 | 12 | $287.00 | |
| D0140 | 15 | 15 | $178.20 |