NPI: 1013148675 · WOODRIDGE, IL 60517 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,738 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,161 | 1,110 | $46K | |
| D1208 | 1,164 | 1,113 | $29K | |
| D0120 | 1,019 | 970 | $28K | |
| D2392 | 290 | 230 | $14K | |
| D1351 | 298 | 160 | $12K | |
| D2391 | 306 | 246 | $10K | |
| D9230 | 301 | 243 | $8K | |
| D0150 | 198 | 196 | $4K | |
| D0330 | 166 | 160 | $4K | |
| D7140 | 90 | 65 | $4K | |
| D0272 | 398 | 375 | $4K | |
| D0274 | 167 | 161 | $3K | |
| D0220 | 166 | 158 | $912.80 | |
| D9110 | 14 | 13 | $715.00 |