NPI: 1588048607 · DIXON, IL 61021 · Dentist · NPI assigned 07/18/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $2K |
| 2019 | 51 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 34 | 29 | $961.65 |
| D0999 | Unspecified diagnostic procedure, by report | 17 | 15 | $735.44 |
| D0140 | Limited oral evaluation - problem focused | 17 | 12 | $534.25 |