NPI: 1346395431 · CARPENTERSVILLE, IL 60110 · General Practice Dentistry · NPI assigned 01/25/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 176 | $799.60 |
| 2021 | 79 | $1K |
| 2022 | 27 | $214.86 |
| 2023 | 105 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 76 | 73 | $2K |
| D1120 | Prophylaxis - child | 25 | 25 | $1K |
| D0274 | Bitewings - four radiographic images | 57 | 50 | $860.42 |
| D1208 | Topical application of fluoride, excluding varnish | 25 | 25 | $682.50 |
| D0140 | Limited oral evaluation - problem focused | 50 | 36 | $615.60 |
| D1999 | 154 | 113 | $0.00 |