CRYSTAL, HOWARD
NPI: 1720291651
· AURORA, IL 60504
· General Practice Dentistry
· NPI assigned 05/07/2007
$312K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,868 |
$124K |
| 2019 |
3,125 |
$177K |
| 2020 |
324 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
262 |
228 |
$94K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,802 |
507 |
$88K |
| D5120 |
|
172 |
157 |
$64K |
| D0120 |
Periodic oral evaluation - established patient |
766 |
642 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
795 |
672 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
668 |
585 |
$10K |
| D1110 |
Prophylaxis - adult |
239 |
213 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
698 |
545 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
915 |
796 |
$5K |