NPI: 1144605262 · NORTHLAKE, IL 60164 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,526 | $53K |
| 2019 | 4,108 | $94K |
| 2020 | 1,010 | $21K |
| 2021 | 2,335 | $53K |
| 2022 | 1,658 | $44K |
| 2023 | 402 | $11K |
| 2024 | 366 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,800 | 1,689 | $72K | |
| D0120 | 2,193 | 2,048 | $59K | |
| D1351 | 618 | 336 | $45K | |
| D1208 | 1,483 | 1,386 | $38K | |
| D0274 | 990 | 916 | $16K | |
| D0220 | 2,109 | 1,964 | $12K | |
| D1110 | 293 | 269 | $10K | |
| D0230 | 1,885 | 1,715 | $8K | |
| D0150 | 335 | 321 | $7K | |
| D0330 | 174 | 164 | $4K | |
| D2150 | 53 | 41 | $3K | |
| D0140 | 165 | 158 | $2K | |
| D2392 | 33 | 25 | $2K | |
| D2391 | 52 | 40 | $2K | |
| D0272 | 128 | 121 | $1K | |
| D0210 | 46 | 43 | $980.20 | |
| D2140 | 20 | 13 | $617.00 | |
| D1999 | 28 | 28 | $0.00 |