NPI: 1669218798 · DECATUR, IL 62526 · Dentist · NPI assigned 07/08/2024
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 6,331 | $192K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 505 | 205 | $32K | |
| D4341 | 170 | 68 | $22K | |
| D1120 | 502 | 502 | $21K | |
| D0120 | 687 | 687 | $20K | |
| D4342 | 113 | 55 | $12K | |
| D1206 | 431 | 431 | $12K | |
| D7140 | 142 | 89 | $10K | |
| D0274 | 537 | 537 | $10K | |
| D2392 | 130 | 82 | $9K | |
| D1110 | 146 | 146 | $7K | |
| D0220 | 961 | 954 | $6K | |
| D0150 | 226 | 226 | $6K | |
| D0330 | 340 | 340 | $5K | |
| D0230 | 890 | 889 | $4K | |
| D2391 | 75 | 53 | $4K | |
| D2393 | 20 | 17 | $2K | |
| D0272 | 220 | 220 | $2K | |
| D0140 | 122 | 121 | $2K | |
| D1208 | 80 | 80 | $2K | |
| D7210 | 17 | 16 | $2K | |
| D0210 | 17 | 17 | $120.81 |