PERRY, CARMELLA
NPI: 1356492276
· FLOSSMOOR, IL 60422
· Pediatric Dentist
· NPI assigned 01/16/2007
$851.48
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
67 |
$851.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
21 |
12 |
$415.44 |
| D1120 |
Prophylaxis - child |
33 |
30 |
$287.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$149.04 |