NPI: 1306338199 · CALUMET CITY, IL 60409 · Dentist · NPI assigned 06/06/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 468 | $9K |
| 2019 | 1,730 | $40K |
| 2020 | 1,704 | $32K |
| 2021 | 3,548 | $59K |
| 2022 | 5,634 | $163K |
| 2023 | 1,762 | $35K |
| 2024 | 4,015 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,597 | 1,547 | $65K | |
| D0120 | 2,152 | 2,082 | $59K | |
| D4341 | 348 | 178 | $59K | |
| D0150 | 1,544 | 1,478 | $36K | |
| D7210 | 401 | 209 | $32K | |
| D1110 | 646 | 632 | $28K | |
| D0140 | 1,372 | 1,334 | $25K | |
| D1208 | 934 | 896 | $24K | |
| D0274 | 1,476 | 1,407 | $23K | |
| D0220 | 3,490 | 3,305 | $21K | |
| D0210 | 605 | 587 | $16K | |
| D2392 | 228 | 167 | $15K | |
| D0330 | 647 | 628 | $15K | |
| D0230 | 2,654 | 2,351 | $13K | |
| D2391 | 225 | 157 | $10K | |
| D1206 | 219 | 216 | $6K | |
| D1351 | 47 | 28 | $4K | |
| D2393 | 44 | 20 | $4K | |
| D9110 | 17 | 16 | $880.00 | |
| D0272 | 83 | 82 | $738.72 | |
| D0270 | 132 | 132 | $724.22 |