NPI: 1043361512 · GREENVILLE, SC 29609 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,787 | $54K |
| 2019 | 1,823 | $59K |
| 2020 | 673 | $19K |
| 2021 | 1,091 | $33K |
| 2022 | 1,279 | $40K |
| 2023 | 1,276 | $41K |
| 2024 | 1,014 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,854 | 1,854 | $91K | |
| D0120 | 1,785 | 1,785 | $39K | |
| D0140 | 799 | 793 | $29K | |
| D0274 | 1,140 | 1,140 | $29K | |
| D1208 | 1,629 | 1,629 | $26K | |
| D0330 | 508 | 508 | $24K | |
| D0150 | 341 | 341 | $14K | |
| D1120 | 356 | 356 | $12K | |
| D2392 | 63 | 36 | $6K | |
| D0220 | 278 | 275 | $3K | |
| D7140 | 30 | 13 | $3K | |
| D7210 | 15 | 12 | $2K | |
| D2391 | 21 | 12 | $2K | |
| D0272 | 65 | 65 | $1K | |
| D1206 | 59 | 59 | $973.50 |