NPI: 1972049641 · LINCOLN, IL 62656 · Primary Care Clinic/Center · NPI assigned 01/18/2017
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 01/18/2017 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,795 | $235K |
| 2019 | 12,220 | $478K |
| 2020 | 10,352 | $461K |
| 2021 | 9,321 | $567K |
| 2022 | 9,188 | $581K |
| 2023 | 9,675 | $632K |
| 2024 | 8,005 | $538K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 17,023 | 10,483 | $2.04M |
| D0999 | Unspecified diagnostic procedure, by report | 13,912 | 11,330 | $1.43M |
| D1120 | Prophylaxis - child | 4,335 | 4,177 | $4K |
| D1351 | Sealant - per tooth | 97 | 41 | $3K |
| D0120 | Periodic oral evaluation - established patient | 3,523 | 3,374 | $2K |
| D1206 | Topical application of fluoride varnish | 4,707 | 4,533 | $2K |
| D0272 | Bitewings - two radiographic images | 1,518 | 1,453 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 1,431 | 923 | $998.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 999 | 947 | $720.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,744 | 5,321 | $568.90 |
| D0274 | Bitewings - four radiographic images | 617 | 581 | $387.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,977 | 2,297 | $310.46 |
| D0140 | Limited oral evaluation - problem focused | 1,223 | 1,098 | $305.00 |
| D0330 | Panoramic radiographic image | 354 | 349 | $256.00 |
| D0220 | Intraoral - periapical first radiographic image | 1,402 | 1,317 | $210.20 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 17 | 12 | $48.15 |
| 90832 | Psychotherapy, 30 minutes with patient | 859 | 449 | $0.09 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 116 | 89 | $0.03 |
| 80305 | 810 | 480 | $0.02 | |
| D1310 | 800 | 671 | $0.00 | |
| D0603 | 405 | 403 | $0.00 | |
| D1330 | 763 | 637 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 53 | 51 | $0.00 |
| D0602 | 113 | 113 | $0.00 | |
| D0601 | 150 | 150 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 36 | 15 | $0.00 |
| 96127 | 28 | 27 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 116 | 91 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 53 | 52 | $0.00 |
| D5899 | 75 | 39 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 30 | 29 | $0.00 |
| D1110 | Prophylaxis - adult | 570 | 548 | $0.00 |
| 81003 | 210 | 174 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 78 | 69 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 995 | 893 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 93 | 82 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 44 | 39 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 252 | 207 | $0.00 |
| 81025 | 28 | 25 | $0.00 |