TUCKER, MONIQUE
NPI: 1952454084
· BROADVIEW, IL 60155
· General Practice Dentistry
· NPI assigned 01/20/2007
$613.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$273.65 |
| 2023 |
12 |
$340.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$340.20 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$273.65 |