NPI: 1144696410 · SOUTH BEND, IN 46628 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,093 | $3K |
| 2019 | 251 | $6K |
| 2024 | 693 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 288 | 278 | $7K | |
| D1110 | 133 | 130 | $5K | |
| D0274 | 196 | 192 | $5K | |
| D7210 | 41 | 27 | $4K | |
| D2391 | 36 | 24 | $3K | |
| D0220 | 357 | 330 | $2K | |
| D0140 | 68 | 68 | $2K | |
| D0230 | 418 | 291 | $2K | |
| D2392 | 18 | 12 | $2K | |
| D0120 | 60 | 60 | $2K | |
| D1206 | 106 | 102 | $1K | |
| D1120 | 73 | 69 | $1K | |
| D0330 | 14 | 14 | $899.92 | |
| D1351 | 183 | 17 | $675.05 | |
| D0272 | 15 | 14 | $49.62 | |
| D7140 | 31 | 12 | $0.00 |