NPI: 1184118127 · PROVIDENCE, RI 02905 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,154 | $145K |
| 2020 | 4,470 | $184K |
| 2021 | 20,879 | $653K |
| 2022 | 21,628 | $655K |
| 2023 | 39,084 | $1.22M |
| 2024 | 22,362 | $593K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,862 | 13,794 | $1.82M |
| D1120 | 13,927 | 7,905 | $333K | |
| D1206 | 17,617 | 9,771 | $331K | |
| D2392 | 4,589 | 2,092 | $200K | |
| D1351 | 8,978 | 1,792 | $111K | |
| D0120 | 10,685 | 5,566 | $101K | |
| D1354 | 7,577 | 1,815 | $99K | |
| D2391 | 2,886 | 1,422 | $89K | |
| D0330 | 2,146 | 1,520 | $68K | |
| D1110 | 4,568 | 3,183 | $64K | |
| D0274 | 3,990 | 2,650 | $56K | |
| D0150 | 2,740 | 1,670 | $43K | |
| D0272 | 3,522 | 2,069 | $38K | |
| D7140 | 1,096 | 523 | $23K | |
| D0140 | 1,726 | 1,072 | $18K | |
| D0220 | 3,019 | 2,007 | $13K | |
| D2930 | 129 | 78 | $10K | |
| D2150 | 223 | 125 | $7K | |
| D7111 | 214 | 72 | $6K | |
| D2393 | 93 | 50 | $4K | |
| D0230 | 1,519 | 543 | $2K | |
| D2140 | 62 | 42 | $2K | |
| D9310 | 253 | 177 | $2K | |
| D0145 | 162 | 86 | $2K | |
| D2940 | 176 | 114 | $2K | |
| D9992 | 129 | 73 | $748.00 | |
| D9230 | 27 | 19 | $630.00 | |
| D9920 | 29 | 21 | $575.00 | |
| D0270 | 40 | 32 | $84.00 | |
| D9110 | 27 | 25 | $80.00 | |
| D0602 | 1,956 | 1,843 | $0.00 | |
| D1310 | 22 | 22 | $0.00 | |
| D1330 | 2,876 | 2,700 | $0.00 | |
| D0603 | 712 | 666 | $0.00 |