TKACH, ELLEN
NPI: 1194998252
· GRAYSLAKE, IL 60030
· General Practice Dentistry
· NPI assigned 04/09/2008
$190K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
751 |
$16K |
| 2022 |
5,274 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,669 |
665 |
$85K |
| D1120 |
Prophylaxis - child |
1,153 |
1,113 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,142 |
1,103 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,122 |
1,083 |
$28K |
| D0601 |
|
509 |
491 |
$14.45 |
| D0603 |
|
82 |
80 |
$0.00 |
| D0602 |
|
348 |
344 |
$0.00 |