NPI: 1407924103 · OAK PARK, MI 48237 · Dentist · NPI assigned 12/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,467 | $181K |
| 2019 | 1,606 | $62K |
| 2021 | 24 | $718.96 |
| 2022 | 14 | $441.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 493 | 277 | $38K | |
| D1110 | 822 | 811 | $30K | |
| D0210 | 519 | 512 | $23K | |
| D0120 | 954 | 943 | $21K | |
| D2393 | 230 | 129 | $19K | |
| D4355 | 358 | 356 | $17K | |
| D1120 | 415 | 415 | $17K | |
| D7140 | 396 | 153 | $16K | |
| D0150 | 573 | 565 | $14K | |
| D1208 | 509 | 509 | $12K | |
| D0274 | 489 | 485 | $11K | |
| D2391 | 218 | 127 | $10K | |
| D0140 | 375 | 365 | $8K | |
| D0220 | 485 | 459 | $4K | |
| D0272 | 48 | 48 | $1K | |
| D0330 | 39 | 39 | $983.00 | |
| D0230 | 168 | 121 | $858.73 | |
| D7210 | 20 | 15 | $768.05 |