NPI: 1437365426 · WILMETTE, IL 60091 · Pediatric Dentist · NPI assigned 05/15/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,491 | $38K |
| 2019 | 1,322 | $43K |
| 2020 | 1,610 | $47K |
| 2021 | 1,568 | $54K |
| 2022 | 10,264 | $339K |
| 2023 | 5,701 | $202K |
| 2024 | 2,690 | $117K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 5,524 | 2,375 | $304K |
| D1120 | Prophylaxis - child | 5,731 | 5,574 | $232K |
| D0120 | Periodic oral evaluation - established patient | 5,464 | 5,278 | $152K |
| D1206 | Topical application of fluoride varnish | 3,406 | 3,312 | $88K |
| D1208 | Topical application of fluoride, excluding varnish | 2,166 | 2,125 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 91 | 75 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 119 | 119 | $3K |
| D0272 | Bitewings - two radiographic images | 77 | 74 | $756.65 |
| D0601 | 1,086 | 1,041 | $50.25 | |
| D0602 | 618 | 599 | $29.25 | |
| D0603 | 364 | 354 | $19.50 |