NPI: 1063910164 · KENOSHA, WI 53142 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,584 | $92K |
| 2019 | 1,439 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | 431 | 153 | $17K | |
| D2392 | 287 | 167 | $14K | |
| D1110 | 417 | 401 | $10K | |
| D0274 | 585 | 564 | $9K | |
| D1120 | 433 | 430 | $9K | |
| D0150 | 488 | 466 | $9K | |
| D0220 | 1,163 | 1,087 | $8K | |
| D0120 | 573 | 566 | $8K | |
| D2391 | 202 | 115 | $7K | |
| D1208 | 599 | 593 | $7K | |
| D0230 | 1,402 | 932 | $6K | |
| D0272 | 262 | 259 | $3K | |
| D0140 | 168 | 156 | $2K | |
| D2393 | 13 | 13 | $683.52 |