NPI: 1083902308 · MACHESNEY PARK, IL 61115 · Dentist · NPI assigned 07/20/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,162 | $69K |
| 2019 | 143 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 327 | 327 | $13K | |
| D2392 | 192 | 139 | $12K | |
| D0120 | 384 | 384 | $9K | |
| D1206 | 253 | 253 | $7K | |
| D1120 | 133 | 133 | $5K | |
| D0274 | 357 | 357 | $4K | |
| D2391 | 69 | 42 | $3K | |
| D0150 | 136 | 136 | $3K | |
| D0230 | 482 | 481 | $3K | |
| D0220 | 543 | 541 | $3K | |
| D1351 | 144 | 25 | $2K | |
| D0603 | 200 | 200 | $2K | |
| D0140 | 45 | 45 | $2K | |
| D0210 | 12 | 12 | $523.00 | |
| D0272 | 28 | 28 | $225.00 |