NPI: 1134712524 · WAUKEGAN, IL 60085 · General Practice Dentistry · NPI assigned 02/16/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $240.00 |
| 2023 | 62 | $15K |
| 2024 | 208 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 303 | 301 | $64K |