NPI: 1386709079 · SOUTH HOLLAND, IL 60473 · General Practice Dentistry · NPI assigned 12/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,300 | $31K |
| 2019 | 3,051 | $60K |
| 2020 | 770 | $14K |
| 2023 | 245 | $4K |
| 2024 | 267 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 688 | 680 | $28K | |
| D0120 | 739 | 727 | $20K | |
| D1208 | 621 | 617 | $16K | |
| D0274 | 515 | 504 | $8K | |
| D2392 | 115 | 86 | $7K | |
| D0150 | 305 | 300 | $6K | |
| D0220 | 1,061 | 1,039 | $6K | |
| D0230 | 1,084 | 970 | $5K | |
| D2150 | 89 | 57 | $5K | |
| D1351 | 81 | 45 | $4K | |
| D2160 | 40 | 25 | $3K | |
| D2391 | 69 | 46 | $3K | |
| D0272 | 145 | 144 | $1K | |
| D1206 | 38 | 38 | $1K | |
| D0140 | 31 | 30 | $405.00 | |
| D0270 | 12 | 12 | $67.20 |