SOURIS, CHRISTA
NPI: 1437175833
· CHICAGO, IL 60615
· Dentist
· NPI assigned 07/15/2006
$2.23M
Total Medicaid Paid
69,933
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,614 |
$523K |
| 2019 |
17,612 |
$418K |
| 2020 |
9,879 |
$233K |
| 2021 |
4,251 |
$130K |
| 2022 |
19,132 |
$603K |
| 2023 |
10,814 |
$326K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
17,814 |
7,987 |
$758K |
| D1120 |
Prophylaxis - child |
16,361 |
14,982 |
$607K |
| D0120 |
Periodic oral evaluation - established patient |
17,689 |
16,256 |
$483K |
| D1208 |
Topical application of fluoride, excluding varnish |
16,456 |
15,076 |
$383K |
| D0601 |
|
7,466 |
7,294 |
$599.25 |
| D0602 |
|
5,974 |
5,857 |
$496.50 |
| D0603 |
|
2,542 |
2,481 |
$244.50 |