NPI: 1922514975 · ADDISON, IL 60101 · Dentist · NPI assigned 12/28/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,272 | $222K |
| 2019 | 10,356 | $255K |
| 2020 | 5,896 | $131K |
| 2021 | 144 | $2K |
| 2022 | 1,180 | $27K |
| 2023 | 80 | $2K |
| 2024 | 37 | $656.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,517 | 3,323 | $137K | |
| D1351 | 1,522 | 844 | $100K | |
| D0120 | 3,511 | 3,300 | $94K | |
| D1206 | 3,181 | 3,005 | $78K | |
| D2392 | 833 | 604 | $65K | |
| D2393 | 376 | 279 | $28K | |
| D0274 | 1,766 | 1,647 | $27K | |
| D0220 | 4,241 | 3,958 | $23K | |
| D1110 | 457 | 407 | $16K | |
| D0230 | 4,021 | 3,732 | $16K | |
| D0150 | 719 | 667 | $14K | |
| D9110 | 270 | 247 | $14K | |
| D0272 | 1,532 | 1,445 | $13K | |
| D2391 | 130 | 117 | $6K | |
| D1208 | 211 | 197 | $5K | |
| D0270 | 266 | 246 | $1K | |
| D7140 | 20 | 16 | $978.00 | |
| D1999 | 392 | 314 | $0.00 |