NPI: 1689845976 · NORRIDGE, IL 60706 · Dentist · NPI assigned 03/14/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $262.20 |
| 2019 | 54 | $2K |
| 2022 | 16 | $448.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 85 | 84 | $2K |