NPI: 1831341510 · GRAYSLAKE, IL 60030 · Dentist · NPI assigned 10/14/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,779 | $465K |
| 2019 | 24,500 | $565K |
| 2020 | 13,164 | $301K |
| 2021 | 5,749 | $144K |
| 2022 | 36,182 | $1.02M |
| 2023 | 38,226 | $1.08M |
| 2024 | 35,450 | $937K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 36,184 | 34,945 | $1.41M |
| D1351 | Sealant - per tooth | 26,357 | 12,104 | $1.15M |
| D0120 | Periodic oral evaluation - established patient | 37,620 | 36,260 | $1.05M |
| D1206 | Topical application of fluoride varnish | 36,260 | 35,035 | $894K |
| D0601 | 24,897 | 24,312 | $3K | |
| D1354 | 42 | 31 | $920.70 | |
| D0602 | 8,889 | 8,660 | $841.50 | |
| D0603 | 2,801 | 2,720 | $304.50 |