MITSOS, WILLIAM
NPI: 1194912709
· KANKAKEE, IL 60901
· Dentist
· NPI assigned 09/27/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,489 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
418 |
194 |
$24K |
| D1120 |
Prophylaxis - child |
300 |
300 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
300 |
300 |
$9K |
| D1206 |
Topical application of fluoride varnish |
301 |
301 |
$8K |
| D0602 |
|
48 |
48 |
$0.00 |
| D0601 |
|
122 |
122 |
$0.00 |