NPI: 1154701969 · DEARBORN, MI 48124 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,847 | $298K |
| 2019 | 8,805 | $567K |
| 2020 | 3,348 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,674 | 685 | $332K | |
| D2392 | 982 | 600 | $125K | |
| D7140 | 1,075 | 582 | $92K | |
| D0150 | 1,223 | 1,223 | $76K | |
| D3220 | 566 | 353 | $72K | |
| D0120 | 1,230 | 1,230 | $42K | |
| D1354 | 1,425 | 367 | $36K | |
| D2391 | 364 | 251 | $35K | |
| D9310 | 465 | 464 | $34K | |
| D0272 | 1,170 | 1,168 | $30K | |
| D0220 | 1,499 | 1,439 | $29K | |
| D1120 | 565 | 565 | $24K | |
| D9223 | 225 | 42 | $23K | |
| D9248 | 328 | 315 | $18K | |
| D0145 | 419 | 419 | $17K | |
| D0140 | 268 | 266 | $17K | |
| D0230 | 1,115 | 729 | $15K | |
| D1206 | 444 | 444 | $13K | |
| D1352 | 148 | 67 | $8K | |
| D1510 | 36 | 29 | $7K | |
| D2330 | 55 | 29 | $5K | |
| D1208 | 144 | 144 | $4K | |
| D9222 | 38 | 38 | $4K | |
| D2393 | 20 | 17 | $3K | |
| D1351 | 83 | 38 | $3K | |
| D0240 | 51 | 36 | $1K | |
| D0274 | 25 | 25 | $924.00 | |
| D3120 | 34 | 25 | $0.00 | |
| D9230 | 329 | 315 | $0.00 |