NPI: 1144703026 · BLOOMINGTON, IL 61704 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 243 | $3K |
| 2020 | 1,522 | $34K |
| 2021 | 1,396 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 426 | 389 | $7K | |
| D0330 | 309 | 253 | $6K | |
| D1120 | 211 | 189 | $6K | |
| D1110 | 148 | 125 | $5K | |
| D0120 | 258 | 225 | $5K | |
| D1206 | 105 | 91 | $2K | |
| D0274 | 216 | 206 | $2K | |
| D2392 | 75 | 58 | $2K | |
| D0220 | 430 | 408 | $2K | |
| D0140 | 162 | 158 | $1K | |
| D0230 | 386 | 272 | $1K | |
| D2391 | 22 | 15 | $802.10 | |
| D0210 | 51 | 51 | $348.00 | |
| D7140 | 34 | 19 | $320.00 | |
| D1208 | 72 | 71 | $152.00 | |
| D0272 | 15 | 15 | $60.00 | |
| D1330 | 72 | 72 | $10.00 | |
| D1310 | 20 | 20 | $10.00 | |
| D0270 | 12 | 12 | $0.00 | |
| D9986 | 137 | 131 | $0.00 |