NPI: 1053309054 · SPRINGFIELD, IL 62703 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,585 | $94K |
| 2020 | 2,006 | $46K |
| 2021 | 1,655 | $38K |
| 2022 | 1,429 | $33K |
| 2023 | 1,089 | $30K |
| 2024 | 178 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,745 | 1,680 | $69K | |
| D0120 | 2,410 | 2,289 | $65K | |
| D0274 | 1,235 | 1,185 | $21K | |
| D0140 | 965 | 907 | $16K | |
| D1110 | 437 | 397 | $15K | |
| D1208 | 476 | 465 | $12K | |
| D0220 | 1,622 | 1,511 | $9K | |
| D1206 | 294 | 262 | $8K | |
| D2392 | 148 | 113 | $8K | |
| D0150 | 341 | 323 | $7K | |
| D2391 | 166 | 117 | $6K | |
| D1351 | 83 | 33 | $4K | |
| D0230 | 671 | 641 | $3K | |
| D0272 | 235 | 223 | $2K | |
| D9110 | 14 | 13 | $700.00 | |
| D0210 | 29 | 29 | $619.10 | |
| D0270 | 71 | 67 | $386.40 |