NPI: 1164641940 · GURNEE, IL 60031 · General Practice Dentistry · NPI assigned 04/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $254.00 |
| 2019 | 136 | $3K |
| 2020 | 299 | $5K |
| 2021 | 259 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 284 | 264 | $7K |
| D1110 | Prophylaxis - adult | 75 | 72 | $2K |
| D1120 | Prophylaxis - child | 60 | 53 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 101 | 93 | $2K |
| D0274 | Bitewings - four radiographic images | 65 | 56 | $945.50 |
| D0210 | Intraoral - complete series of radiographic images | 16 | 15 | $421.40 |
| D0220 | Intraoral - periapical first radiographic image | 77 | 71 | $386.40 |
| D0230 | Intraoral - periapical each additional radiographic image | 29 | 27 | $182.40 |