NPI: 1265445910 · PEKIN, IL 61554 · General Practice Dentistry · NPI assigned 08/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 405 | $10K |
| 2020 | 950 | $26K |
| 2021 | 6,394 | $184K |
| 2022 | 13,416 | $435K |
| 2023 | 13,158 | $420K |
| 2024 | 12,399 | $396K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 8,632 | 4,435 | $485K |
| D1120 | Prophylaxis - child | 10,135 | 9,926 | $417K |
| D0120 | Periodic oral evaluation - established patient | 10,583 | 10,330 | $300K |
| D1206 | Topical application of fluoride varnish | 10,334 | 10,125 | $270K |
| D0602 | 1,996 | 1,976 | $0.00 | |
| D0603 | 864 | 857 | $0.00 | |
| D0601 | 4,178 | 4,127 | $0.00 |