NPI: 1518215318 · CLARENDON HILLS, IL 60514 · Dentist · NPI assigned 08/27/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,297 | $119K |
| 2019 | 4,982 | $593K |
| 2020 | 4,418 | $587K |
| 2021 | 3,680 | $670K |
| 2022 | 2,680 | $465K |
| 2023 | 136 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 8,264 | 7,623 | $1.60M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 617 | 566 | $536K |
| D8999 | 3,120 | 3,014 | $129K | |
| D0330 | Panoramic radiographic image | 1,576 | 1,509 | $49K |
| D8660 | 515 | 477 | $44K | |
| D8680 | 215 | 194 | $26K | |
| D9310 | 1,464 | 1,420 | $24K | |
| D0340 | 287 | 266 | $14K | |
| D0350 | 242 | 223 | $9K | |
| D0470 | 125 | 114 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 200 | 188 | $8K |
| D1999 | 568 | 395 | $0.00 |