BOTVINNIK, IGOR
NPI: 1760553887
· MORTON GROVE, IL 60053
· General Practice Dentistry
· NPI assigned 11/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67 |
$3K |
| 2019 |
25 |
$431.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
55 |
53 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$492.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$134.40 |