NPI: 1154640274 · CHICAGO, IL 60625 · Dentist · NPI assigned 05/28/2010
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 05/28/2010 |
Other providers sharing the same authorized official: WILLIS, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAPESTRY 360 HEALTH | CHICAGO | IL | $64.09M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $1.41M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $582K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $540K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $498K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $337K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $319K |
| TAPESTRY 360 HEALTH | SKOKIE | IL | $252K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $229K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $195K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $145K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $131K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $68K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $51K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,082 | $50K |
| 2019 | 1,572 | $73K |
| 2020 | 399 | $18K |
| 2021 | 1,100 | $41K |
| 2022 | 307 | $31K |
| 2023 | 307 | $21K |
| 2024 | 48 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 2,384 | 1,946 | $201K |
| T1015 | Clinic visit/encounter, all-inclusive | 585 | 223 | $36K |
| D1206 | Topical application of fluoride varnish | 407 | 374 | $939.70 |
| D0120 | Periodic oral evaluation - established patient | 451 | 419 | $840.00 |
| D1120 | Prophylaxis - child | 440 | 416 | $820.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 192 | 179 | $484.15 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 84 | 56 | $246.80 |
| D0274 | Bitewings - four radiographic images | 120 | 118 | $169.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 38 | 25 | $96.30 |
| D0272 | Bitewings - two radiographic images | 31 | 29 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68 | 34 | $0.00 |
| D1330 | 15 | 13 | $0.00 |