NPI: 1295068856 · JACKSONVILLE, IL 62650 · Endodontist · NPI assigned 09/15/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 51 | $15K |
| 2023 | 297 | $24K |
| 2024 | 551 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 113 | 105 | $56K |
| D0140 | Limited oral evaluation - problem focused | 460 | 403 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 280 | 229 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 46 | 40 | $355.81 |