NPI: 1609913169 · HIGHLAND PARK, IL 60035 · General Practice Dentistry · NPI assigned 01/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $2K |
| 2019 | 80 | $2K |
| 2020 | 87 | $3K |
| 2021 | 62 | $2K |
| 2022 | 80 | $2K |
| 2023 | 71 | $2K |
| 2024 | 97 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 465 | 445 | $13K |
| D1120 | Prophylaxis - child | 38 | 37 | $2K |
| D1110 | Prophylaxis - adult | 12 | 12 | $451.00 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 13 | $364.00 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $279.16 |