NPI: 1356701007 · WOODRIDGE, IL 60517 · Dentist · NPI assigned 02/23/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,139 | $166K |
| 2019 | 6,777 | $157K |
| 2020 | 6,920 | $153K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,891 | 1,765 | $73K | |
| D7210 | 691 | 475 | $58K | |
| D7140 | 926 | 475 | $49K | |
| D0150 | 2,199 | 2,077 | $45K | |
| D0120 | 1,669 | 1,504 | $43K | |
| D0274 | 1,797 | 1,685 | $28K | |
| D2392 | 464 | 359 | $27K | |
| D1206 | 1,065 | 997 | $26K | |
| D1110 | 704 | 644 | $25K | |
| D0230 | 3,290 | 2,593 | $23K | |
| D1351 | 391 | 170 | $20K | |
| D0220 | 3,361 | 3,104 | $18K | |
| D0140 | 788 | 722 | $12K | |
| D1208 | 400 | 367 | $9K | |
| D0330 | 364 | 346 | $7K | |
| D0272 | 478 | 439 | $4K | |
| D0210 | 249 | 237 | $3K | |
| D2391 | 61 | 51 | $3K | |
| D2393 | 35 | 26 | $2K | |
| D9110 | 13 | 12 | $715.00 |