NPI: 1497107502 · HIGHLAND PARK, IL 60035 · General Practice Dentistry · NPI assigned 07/13/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,274 | $321K |
| 2019 | 20,647 | $505K |
| 2020 | 7,573 | $180K |
| 2021 | 12,100 | $352K |
| 2022 | 625 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 13,922 | 5,144 | $525K |
| D1120 | Prophylaxis - child | 9,659 | 8,964 | $370K |
| D0120 | Periodic oral evaluation - established patient | 10,030 | 9,293 | $258K |
| D1206 | Topical application of fluoride varnish | 9,845 | 9,145 | $231K |
| D0602 | 1,729 | 1,655 | $0.00 | |
| D0603 | 920 | 868 | $0.00 | |
| D0601 | 6,114 | 5,831 | $0.00 |