NPI: 1053791301 · CALAIS, ME 04619 · 302F00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,370 | $41K |
| 2019 | 2,132 | $42K |
| 2020 | 1,402 | $25K |
| 2021 | 585 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 869 | 814 | $23K | |
| D1120 | 834 | 778 | $23K | |
| D1206 | 1,525 | 1,415 | $16K | |
| D1330 | 1,331 | 1,237 | $16K | |
| D1110 | 446 | 407 | $15K | |
| D0274 | 373 | 332 | $6K | |
| D2392 | 85 | 26 | $6K | |
| D0150 | 90 | 82 | $4K | |
| D0220 | 385 | 344 | $3K | |
| D0330 | 57 | 54 | $2K | |
| D0230 | 390 | 215 | $2K | |
| D9630 | 29 | 26 | $1K | |
| D1351 | 50 | 14 | $800.00 | |
| D0140 | 25 | 25 | $500.00 |