THOMAS, LATOI
NPI: 1942532692
· CHICAGO HEIGHTS, IL 60411
· Dentist
· NPI assigned 02/05/2010
$661K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,197 |
$127K |
| 2019 |
3,621 |
$88K |
| 2020 |
251 |
$6K |
| 2021 |
6,305 |
$154K |
| 2022 |
4,271 |
$130K |
| 2023 |
3,957 |
$122K |
| 2024 |
1,199 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
5,706 |
5,494 |
$218K |
| D0120 |
Periodic oral evaluation - established patient |
5,916 |
5,692 |
$161K |
| D1206 |
Topical application of fluoride varnish |
5,876 |
5,660 |
$142K |
| D1351 |
Sealant - per tooth |
2,713 |
1,261 |
$134K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
208 |
195 |
$5K |
| D0601 |
|
2,730 |
2,690 |
$262.50 |
| D0603 |
|
273 |
269 |
$75.00 |
| D0602 |
|
1,379 |
1,364 |
$75.00 |