NPI: 1104921279 · KENOSHA, WI 53143 · Dentist · NPI assigned 09/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,423 | $393K |
| 2019 | 1,172 | $16K |
| 2020 | 1,936 | $49K |
| 2021 | 298 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 2,569 | 2,109 | $63K | |
| D1120 | 1,614 | 1,344 | $55K | |
| D0210 | 1,249 | 1,029 | $52K | |
| D7210 | 1,545 | 490 | $50K | |
| D1206 | 1,581 | 1,314 | $42K | |
| D0274 | 1,758 | 1,499 | $32K | |
| D0150 | 974 | 840 | $22K | |
| D0220 | 2,321 | 1,954 | $20K | |
| D1351 | 1,024 | 195 | $17K | |
| D2150 | 399 | 166 | $17K | |
| D1110 | 918 | 766 | $15K | |
| D0330 | 527 | 399 | $13K | |
| D2140 | 319 | 127 | $11K | |
| D2392 | 279 | 145 | $11K | |
| D0230 | 2,477 | 1,882 | $11K | |
| D0350 | 910 | 670 | $11K | |
| D0120 | 652 | 517 | $9K | |
| D2391 | 155 | 82 | $6K | |
| D2160 | 64 | 27 | $2K | |
| D0601 | 533 | 395 | $2K | |
| D7140 | 34 | 20 | $1K | |
| D4355 | 96 | 45 | $980.00 | |
| D0999 | 28 | 28 | $840.00 | |
| D0160 | 99 | 55 | $775.00 | |
| D7111 | 29 | 14 | $713.00 | |
| D0170 | 64 | 45 | $608.52 | |
| D9999 | 15 | 15 | $300.00 | |
| D9210 | 102 | 58 | $266.50 | |
| D5211 | 22 | 12 | $205.00 | |
| D9310 | 198 | 119 | $40.00 | |
| D0191 | 41 | 21 | $30.72 | |
| D9215 | 233 | 151 | $24.60 |