NPI: 1184814568 · SOUTH PORTLAND, ME 04106 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,476 | $50K |
| 2019 | 2,879 | $59K |
| 2020 | 1,845 | $38K |
| 2021 | 2,080 | $41K |
| 2022 | 2,811 | $81K |
| 2023 | 2,902 | $86K |
| 2024 | 3,612 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 5,100 | 4,963 | $127K | |
| D1120 | 3,859 | 3,760 | $123K | |
| D1206 | 5,806 | 5,643 | $86K | |
| D1110 | 1,172 | 1,128 | $45K | |
| D2392 | 335 | 190 | $30K | |
| D9230 | 987 | 907 | $29K | |
| D0272 | 850 | 832 | $15K | |
| D0220 | 285 | 276 | $3K | |
| D1351 | 116 | 38 | $3K | |
| D2391 | 21 | 14 | $2K | |
| D0330 | 27 | 25 | $946.00 | |
| D0150 | 12 | 12 | $797.64 | |
| D0274 | 14 | 13 | $532.20 | |
| D0230 | 21 | 13 | $325.00 |