Active NPI 1265442073 Individual Practitioner Male Practitioner

Dr. Brian Andrew Prentice , DDS

Dentist - General Practice • Lockport, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Prentice, DDS is a certified Dentist - General Practice practicing in Lockport, IL. With approximately 25 years of clinical experience since graduating from The Dental School At University Of Texas Hsc At San Antonio in 2001, Dr. Prentice delivers high-quality medical care to the local community at 14831 W 159TH ST STE 1.

Dr. Prentice is affiliated with Dental Sleep Center Richard A Craig Dds Ltd and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of jaws and skull for orthodontic purposes, x-ray of lower jaws, upper jaws and teeth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14831 W 159th St Ste 1

Lockport, IL 604919008

Telephone 6303245369

Fax 8157447059

Associated Practice Facility / Clinic

🏢 Dental Sleep Center Richard A Craig Dds Ltd Facility NPI 1114551579

Medicare Profile & Education

Medical School

The Dental School At University Of Texas Hsc At San Antonio

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lockport, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Lockport, IL (5581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prentice (25 Years) 25 Yrs

Lockport Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	423	402	$113.00	$88.69
70350 Imaging of jaws and skull for orthodontic purposes	284	284	$26.60	$16.37
70355 X-ray of lower jaws, upper jaws and teeth	284	284	$27.96	$17.96
70486 CT scan of face	283	283	$295.00	$127.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$145.00	$109.73
99202 New patient office or other outpatient visit, typically 20 minutes	135	135	$92.00	$66.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	75	62	$30.00	$22.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$158.00	$125.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	489	402	$113.00	$89.08
70350 Imaging of jaws and skull for orthodontic purposes	225	225	$24.94	$16.42
70355 X-ray of lower jaws, upper jaws and teeth	225	225	$27.00	$18.06
70486 CT scan of face	224	224	$295.00	$132.38
99202 New patient office or other outpatient visit, typically 20 minutes	134	134	$92.00	$68.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$145.00	$111.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$158.00	$126.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$30.00	$22.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	342	294	$120.12	$90.85
70350 Imaging of jaws and skull for orthodontic purposes	217	216	$79.62	$16.59
70486 CT scan of face	217	216	$347.35	$135.93
70355 X-ray of lower jaws, upper jaws and teeth	217	216	$81.31	$18.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$213.99	$113.75
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$116.05	$68.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	35	$55.00	$23.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$160.34	$127.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	158	$125.00	$92.47
70350 Imaging of jaws and skull for orthodontic purposes	155	155	$109.00	$16.85
70355 X-ray of lower jaws, upper jaws and teeth	155	155	$110.00	$18.91
76102 Complex motion imaging procedure on both sides of body	154	154	$375.00	$140.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$235.62	$113.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	94	94	$55.00	$22.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$162.18	$131.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	151	$125.00	$79.96
70355 X-ray of lower jaws, upper jaws and teeth	112	112	$110.00	$20.48
70350 Imaging of jaws and skull for orthodontic purposes	111	111	$109.00	$18.64
76102 Complex motion imaging procedure on both sides of body	103	103	$375.00	$151.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$235.62	$114.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	37	$55.00	$24.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$162.18	$115.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	210	$125.00	$76.70
70355 X-ray of lower jaws, upper jaws and teeth	136	136	$110.00	$21.16
70350 Imaging of jaws and skull for orthodontic purposes	134	134	$109.00	$20.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$235.62	$114.46
76102 Complex motion imaging procedure on both sides of body	102	102	$375.00	$153.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$162.18	$113.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	173	$125.00	$73.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$235.62	$110.26
70350 Imaging of jaws and skull for orthodontic purposes	110	110	$109.00	$20.04
70355 X-ray of lower jaws, upper jaws and teeth	109	109	$110.00	$21.41
76102 Complex motion imaging procedure on both sides of body	81	81	$375.00	$154.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$162.18	$108.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$125.00	$75.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$235.62	$112.64
70355 X-ray of lower jaws, upper jaws and teeth	12	12	$110.00	$21.90
70350 Imaging of jaws and skull for orthodontic purposes	11	11	$109.00	$20.84

Medical Specialties & State Licenses

CMS Verified: 2021-01-19

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.031399

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Barrington Svc Location

1295165439

Commercial Insurance / Payer ID Railroad Ptan

P01931253

Commercial Insurance / Payer ID Medicare Part B Ptan

F400420356

Commercial Insurance / Payer ID Skokie Svc Location

1760882005

Commercial Insurance / Payer ID Shorewood Svc Location

1205145554

Commercial Insurance / Payer ID Oakbrook Svc Location

1306177241

Commercial Insurance / Payer ID Chicago Svc Location

1508198474

Commercial Insurance / Payer ID Medicare Part B Ptan

F400420355

Hospital & Practice Group Affiliations

Dental Sleep Center Richard A Craig Dds Ltd

14831 W 159th St, Homer Glen, IL 604919008

Phone: 8154832980

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Kevin Wallace , DMD

Dentist - General Practice

NPI 1053423285

Doctor of Dental Medicine

Dr. Richard Craig , DDS

Dentist - General Practice

NPI 1124041769

Doctor of Dental Surgery

Dr. Angela Venegoni , DDS

Dentist - General Practice

NPI 1790843399

Doctor of Dental Surgery

Dr. Lydia Sosenko , DDS, ABDSM

Dentist - General Practice

NPI 1801002506

Doctor of Dental Surgery, ABDSM

Dr. James Hogg , DDS

Dentist - General Practice

NPI 1902981780

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location January 19, 2021

Registered at 14831 W 159TH ST STE 1, LOCKPORT, IL 604919008 (Tel: 6303245369)

📍

Updated Business Mailing Address January 19, 2021

Registered at 14831 W 159TH ST STE 1, LOCKPORT, IL 604919008 (Tel: 6303245369)

✅

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2018

Registered at 120 OAKBROOK CTR STE 318, OAK BROOK, IL 605234723 (Tel: 6302181920)

📍

Updated Business Mailing Address January 23, 2018

Registered at 7501 LEMONT RD STE 300, WOODRIDGE, IL 605172681 (Tel: 6303245369)

👤

Provider Name / Credentials Updated January 23, 2018

Recorded as BRIAN PRENTICE, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Dentist (License #019.031399 in IL)

✅

NPI Profile Active April 27, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2009

Registered at 9330 BROADWAY ST STE 320, PEARLAND, TX 775847895 (Tel: 2814127575)

📍

Updated Business Mailing Address April 27, 2009

Registered at 9330 BROADWAY ST STE 320, PEARLAND, TX 775847895 (Tel: 2814127575)

👤

Provider Name / Credentials Updated April 27, 2009

Recorded as BRIAN PRENTICE, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2009

Dentist (License #20531 in TX)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Brian Prentice. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265442073

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2006

Last Update: January 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14831 W 159th St Ste 1

Lockport, IL 604919008

Phone: 6303245369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.