NPI: 1154706364 · LINCOLNWOOD, IL 60712 · Dentist · NPI assigned 07/29/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 40 | $2K |
| 2021 | 15 | $1K |
| 2022 | 46 | $5K |
| 2023 | 302 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 168 | 165 | $6K |
| D0999 | Unspecified diagnostic procedure, by report | 27 | 27 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $625.02 |
| D0120 | Periodic oral evaluation - established patient | 88 | 88 | $0.00 |
| D1120 | Prophylaxis - child | 107 | 107 | $0.00 |