NPI: 1033216049 · BOLINGBROOK, IL 60440 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,170 | $111K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 762 | 759 | $30K | |
| D1351 | 624 | 289 | $25K | |
| D1206 | 760 | 758 | $19K | |
| D0120 | 667 | 665 | $18K | |
| D2392 | 168 | 78 | $9K | |
| D2391 | 161 | 75 | $6K | |
| D0230 | 138 | 101 | $831.70 | |
| D0220 | 120 | 109 | $644.00 | |
| D0272 | 65 | 60 | $592.20 | |
| D1110 | 12 | 12 | $492.00 | |
| D0274 | 22 | 22 | $371.80 | |
| D0210 | 12 | 12 | $127.80 | |
| D0602 | 253 | 252 | $0.00 | |
| D0601 | 406 | 406 | $0.00 |