HADLEY, BEVERLY
NPI: 1992841613
· SOUTH HOLLAND, IL 60473
· General Practice Dentistry
· NPI assigned 01/29/2007
$325K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,601 |
$49K |
| 2023 |
8,608 |
$276K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
3,003 |
1,160 |
$145K |
| D1120 |
Prophylaxis - child |
1,872 |
1,862 |
$78K |
| D0120 |
Periodic oral evaluation - established patient |
1,898 |
1,867 |
$54K |
| D1206 |
Topical application of fluoride varnish |
1,865 |
1,855 |
$49K |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$0.00 |
| D0330 |
Panoramic radiographic image |
57 |
57 |
$0.00 |
| D0601 |
|
710 |
710 |
$0.00 |
| D0603 |
|
173 |
171 |
$0.00 |
| D0602 |
|
546 |
542 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
33 |
33 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
27 |
26 |
$0.00 |