NPI: 1144537440 · PROVIDENCE, RI 02905 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 921 | $23K |
| 2022 | 14,686 | $583K |
| 2023 | 12,576 | $655K |
| 2024 | 12,176 | $478K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 9,458 | 7,518 | $1.57M |
| D1206 | 2,340 | 1,203 | $29K | |
| D1110 | 2,762 | 2,137 | $20K | |
| D2392 | 1,439 | 872 | $16K | |
| D1120 | 975 | 408 | $16K | |
| D2391 | 1,972 | 1,077 | $16K | |
| D0274 | 2,163 | 1,495 | $15K | |
| D0120 | 3,931 | 2,004 | $14K | |
| D0330 | 757 | 530 | $7K | |
| D0230 | 3,764 | 1,559 | $6K | |
| D1351 | 696 | 102 | $6K | |
| D0220 | 3,787 | 3,026 | $6K | |
| D0150 | 975 | 712 | $5K | |
| D0140 | 2,217 | 1,784 | $4K | |
| D0272 | 534 | 208 | $4K | |
| D7140 | 1,076 | 735 | $2K | |
| D1354 | 83 | 13 | $1K | |
| D2393 | 13 | 12 | $42.00 | |
| D2940 | 19 | 18 | $0.00 | |
| D1330 | 737 | 702 | $0.00 | |
| D0603 | 196 | 188 | $0.00 | |
| D0602 | 450 | 428 | $0.00 | |
| D0601 | 15 | 13 | $0.00 |