NPI: 1386296606 · EFFINGHAM, IL 62401 · General Practice Dentistry · NPI assigned 07/16/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,703 | $71K |
| 2020 | 4,158 | $78K |
| 2021 | 4,075 | $119K |
| 2022 | 2,315 | $175K |
| 2023 | 2,498 | $55K |
| 2024 | 265 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,352 | 2,927 | $212K | |
| D0150 | 1,285 | 1,136 | $64K | |
| D0120 | 2,317 | 1,950 | $43K | |
| D2392 | 374 | 319 | $29K | |
| D1110 | 603 | 590 | $23K | |
| D7140 | 350 | 245 | $20K | |
| D2391 | 318 | 272 | $16K | |
| D1208 | 623 | 591 | $15K | |
| D0274 | 1,095 | 1,045 | $14K | |
| D1351 | 118 | 83 | $9K | |
| D0140 | 312 | 301 | $8K | |
| D0220 | 1,513 | 1,419 | $8K | |
| D1206 | 1,436 | 1,097 | $8K | |
| D0210 | 325 | 316 | $8K | |
| D4341 | 43 | 24 | $6K | |
| D0230 | 1,272 | 1,176 | $6K | |
| D2150 | 65 | 55 | $3K | |
| D0272 | 333 | 314 | $2K | |
| D2331 | 13 | 12 | $934.20 | |
| D2332 | 15 | 12 | $773.80 | |
| D2140 | 18 | 17 | $647.85 | |
| D0330 | 26 | 26 | $470.10 | |
| D9230 | 14 | 13 | $0.00 | |
| D1999 | 194 | 157 | $0.00 |