NPI: 1659801629 · MATTOON, IL 61938 · Dentist · NPI assigned 06/13/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 6,255 | $172K |
| 2021 | 13,033 | $333K |
| 2022 | 13,312 | $363K |
| 2023 | 15,731 | $452K |
| 2024 | 14,316 | $440K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 11,055 | 10,820 | $457K | |
| D0120 | 11,536 | 11,202 | $325K | |
| D1206 | 10,917 | 10,700 | $286K | |
| D1351 | 2,351 | 1,191 | $147K | |
| D9230 | 2,598 | 2,398 | $130K | |
| D2392 | 1,348 | 1,061 | $92K | |
| D7140 | 936 | 758 | $54K | |
| D0150 | 1,870 | 1,808 | $44K | |
| D2391 | 950 | 801 | $39K | |
| D0330 | 1,514 | 1,485 | $34K | |
| D0210 | 1,140 | 1,092 | $27K | |
| D0272 | 2,400 | 2,338 | $24K | |
| D0274 | 1,381 | 1,371 | $24K | |
| D0140 | 967 | 934 | $17K | |
| D2393 | 181 | 149 | $17K | |
| D2930 | 128 | 98 | $15K | |
| D1354 | 482 | 283 | $14K | |
| D0220 | 1,927 | 1,865 | $11K | |
| D0230 | 403 | 390 | $3K | |
| D0270 | 28 | 27 | $156.80 | |
| D0601 | 4,085 | 4,034 | $0.00 | |
| D0602 | 2,349 | 2,311 | $0.00 | |
| D0603 | 2,101 | 2,048 | $0.00 |