NPI: 1720126303 · MT PROSPECT, IL 60056 · General Practice Dentistry · NPI assigned 02/03/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $4K |
| 2019 | 629 | $10K |
| 2020 | 98 | $2K |
| 2021 | 492 | $13K |
| 2022 | 563 | $18K |
| 2023 | 611 | $18K |
| 2024 | 705 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 801 | 747 | $20K |
| D1110 | Prophylaxis - adult | 431 | 405 | $19K |
| D1120 | Prophylaxis - child | 427 | 387 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 406 | 380 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 440 | 410 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 258 | 243 | $6K |
| D0274 | Bitewings - four radiographic images | 223 | 211 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $171.86 |
| D0350 | 29 | 29 | $26.00 | |
| D1330 | 197 | 163 | $0.00 |