NPI: 1609858646 · BRIDGEVIEW, IL 60455 · Dentist · NPI assigned 11/16/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 758 | $25K |
| 2019 | 1,915 | $69K |
| 2020 | 694 | $21K |
| 2021 | 936 | $25K |
| 2022 | 1,351 | $89K |
| 2023 | 1,237 | $58K |
| 2024 | 444 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4341 | 471 | 227 | $103K | |
| D9110 | 1,581 | 1,486 | $86K | |
| D7210 | 475 | 214 | $43K | |
| D0230 | 1,356 | 1,276 | $15K | |
| D0120 | 494 | 491 | $14K | |
| D0150 | 613 | 598 | $13K | |
| D0220 | 1,760 | 1,655 | $10K | |
| D1120 | 114 | 114 | $5K | |
| D0140 | 145 | 134 | $3K | |
| D1208 | 100 | 99 | $3K | |
| D0210 | 128 | 118 | $3K | |
| D0274 | 12 | 12 | $239.28 | |
| D0272 | 16 | 16 | $150.40 | |
| D1999 | 70 | 21 | $0.00 |