NPI: 1508476946 · CICERO, IL 60804 · General Practice Dentistry · NPI assigned 07/31/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,087 | $70K |
| 2021 | 1,511 | $29K |
| 2023 | 4,834 | $146K |
| 2024 | 13,643 | $424K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,430 | 4,415 | $186K | |
| D1351 | 3,222 | 1,803 | $166K | |
| D0120 | 4,170 | 4,160 | $120K | |
| D1206 | 3,947 | 3,947 | $106K | |
| D1354 | 985 | 528 | $22K | |
| D2392 | 194 | 124 | $12K | |
| D1208 | 426 | 413 | $11K | |
| D0274 | 587 | 564 | $9K | |
| D0150 | 461 | 430 | $9K | |
| D2391 | 159 | 109 | $6K | |
| D7140 | 131 | 100 | $6K | |
| D1110 | 147 | 145 | $6K | |
| D0230 | 611 | 561 | $4K | |
| D0220 | 666 | 628 | $4K | |
| D0140 | 69 | 67 | $1K | |
| D0272 | 111 | 110 | $1K | |
| D0210 | 110 | 107 | $778.00 | |
| D1999 | 22 | 19 | $0.00 | |
| D0602 | 824 | 824 | $0.00 | |
| D0601 | 947 | 947 | $0.00 | |
| D0603 | 856 | 856 | $0.00 |