NPI: 1033832027 · PROVIDENCE, RI 02905 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 5,363 | $163K |
| 2023 | 20,252 | $652K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,598 | 3,341 | $443K |
| D1206 | 3,769 | 1,828 | $70K | |
| D1120 | 2,889 | 1,452 | $62K | |
| D2392 | 1,419 | 579 | $48K | |
| D2391 | 1,431 | 540 | $35K | |
| D1351 | 2,204 | 382 | $27K | |
| D0120 | 2,382 | 1,138 | $24K | |
| D0150 | 1,219 | 627 | $17K | |
| D0274 | 1,299 | 667 | $16K | |
| D1354 | 1,037 | 251 | $13K | |
| D0330 | 536 | 304 | $13K | |
| D7111 | 486 | 173 | $11K | |
| D1110 | 657 | 400 | $10K | |
| D0272 | 1,076 | 515 | $10K | |
| D0140 | 743 | 370 | $8K | |
| D7140 | 200 | 65 | $5K | |
| D0220 | 598 | 334 | $3K | |
| D0230 | 72 | 43 | $184.00 |