NPI: 1619501871 · PITTSFIELD, IL 62363 · Primary Care Clinic/Center · NPI assigned 02/26/2020
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 02/26/2020 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 138 | $9K |
| 2021 | 2,118 | $78K |
| 2022 | 1,974 | $84K |
| 2023 | 1,014 | $57K |
| 2024 | 1,778 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 2,531 | 2,347 | $305K |
| D0230 | Intraoral - periapical each additional radiographic image | 540 | 461 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 851 | 838 | $0.00 |
| D1206 | Topical application of fluoride varnish | 990 | 978 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 20 | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 50 | 50 | $0.00 |
| D0602 | 50 | 50 | $0.00 | |
| D0603 | 24 | 24 | $0.00 | |
| D1351 | Sealant - per tooth | 14 | 12 | $0.00 |
| D0272 | Bitewings - two radiographic images | 15 | 15 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 17 | 17 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 707 | 688 | $0.00 |
| D0274 | Bitewings - four radiographic images | 220 | 219 | $0.00 |
| D1120 | Prophylaxis - child | 896 | 883 | $0.00 |
| D0330 | Panoramic radiographic image | 97 | 96 | $0.00 |