INGALLINERA, DAVID
NPI: 1679633028
· WESTMONT, IL 60559
· General Practice Dentistry
· NPI assigned 12/08/2006
$983.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$205.20 |
| 2019 |
39 |
$778.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$700.00 |
| D9310 |
|
13 |
12 |
$205.20 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$78.40 |