NPI: 1164659900 · GRAND RAPIDS, MI 49525 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,284 | $583K |
| 2019 | 7,986 | $591K |
| 2020 | 2,214 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 2,403 | 867 | $465K | |
| D7140 | 1,572 | 599 | $134K | |
| D1120 | 2,702 | 2,702 | $111K | |
| D2390 | 458 | 200 | $90K | |
| D2391 | 931 | 545 | $88K | |
| D1206 | 2,692 | 2,692 | $75K | |
| D9420 | 506 | 506 | $72K | |
| D0120 | 1,784 | 1,784 | $60K | |
| D9310 | 653 | 653 | $46K | |
| D0272 | 1,602 | 1,602 | $38K | |
| D0240 | 1,587 | 821 | $33K | |
| D3220 | 220 | 126 | $27K | |
| D1510 | 138 | 90 | $27K | |
| D2330 | 131 | 92 | $11K | |
| D0220 | 512 | 511 | $10K | |
| D0140 | 154 | 152 | $9K | |
| D0150 | 103 | 103 | $7K | |
| D2392 | 55 | 44 | $7K | |
| D1351 | 107 | 39 | $3K | |
| D0330 | 30 | 30 | $2K | |
| D1354 | 34 | 16 | $930.00 | |
| D0230 | 67 | 41 | $888.98 | |
| D0145 | 16 | 16 | $635.79 | |
| D0274 | 12 | 12 | $528.00 | |
| D3120 | 15 | 12 | $0.00 |