NPI: 1477969251 · CAROL STREAM, IL 60188 · Dentist · NPI assigned 07/01/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 739 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 213 | 210 | $9K |
| D0120 | Periodic oral evaluation - established patient | 235 | 233 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 208 | 205 | $5K |
| D0272 | Bitewings - two radiographic images | 70 | 70 | $648.60 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $67.20 |