NPI: 1104805431 · WAKEFIELD, RI 02879 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,576 | $139K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 431 | 333 | $56K |
| D1206 | 596 | 380 | $21K | |
| D1120 | 469 | 305 | $20K | |
| D1351 | 350 | 75 | $7K | |
| D2392 | 93 | 54 | $7K | |
| D1110 | 163 | 93 | $6K | |
| D0120 | 337 | 215 | $5K | |
| D0274 | 281 | 182 | $5K | |
| D2391 | 79 | 49 | $4K | |
| D0150 | 183 | 130 | $4K | |
| D0140 | 246 | 160 | $3K | |
| D0220 | 232 | 153 | $1K | |
| D0272 | 73 | 48 | $1K | |
| D0210 | 13 | 12 | $55.00 | |
| D0230 | 30 | 12 | $0.00 |