NPI: 1932366408 · CHICAGO, IL 60660 · General Practice Dentistry · NPI assigned 05/21/2008
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 05/21/2008 |
Other providers sharing the same authorized official: WILLIS, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAPESTRY 360 HEALTH | CHICAGO | IL | $64.09M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $1.41M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $582K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $540K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $498K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $337K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $319K |
| TAPESTRY 360 HEALTH | SKOKIE | IL | $252K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $240K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $229K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $195K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $131K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $68K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $51K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 635 | $46K |
| 2019 | 1,024 | $74K |
| 2020 | 320 | $24K |
| 2021 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 916 | 719 | $77K |
| T1015 | Clinic visit/encounter, all-inclusive | 668 | 270 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 56 | 24 | $48.50 |
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 182 | 106 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 52 | 43 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17 | 12 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 62 | 39 | $0.00 |
| D1120 | Prophylaxis - child | 15 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 14 | 12 | $0.00 |