NPI: 1346807781 · WORTH, IL 60482 · Dentist · NPI assigned 05/21/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 336 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 131 | 88 | $11K |
| D0140 | Limited oral evaluation - problem focused | 118 | 118 | $2K |
| D0330 | Panoramic radiographic image | 39 | 39 | $924.00 |
| D0220 | Intraoral - periapical first radiographic image | 48 | 47 | $297.45 |