NPI: 1710034731 · TINLEY PARK, IL 60477 · General Practice Dentistry · NPI assigned 01/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 340 | $6K |
| 2019 | 389 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 104 | 99 | $4K |
| D0120 | Periodic oral evaluation - established patient | 125 | 118 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 102 | 97 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 188 | 152 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 184 | 176 | $996.80 |
| D0274 | Bitewings - four radiographic images | 26 | 25 | $422.50 |