NPI: 1194859702 · ELYRIA, OH 44035 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,736 | $28K |
| 2019 | 89 | $821.72 |
| 2020 | 420 | $2K |
| 2021 | 250 | $2K |
| 2022 | 12 | $170.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 479 | 478 | $7K | |
| D1110 | 202 | 200 | $6K | |
| D0330 | 129 | 127 | $5K | |
| D0272 | 507 | 501 | $4K | |
| D0150 | 111 | 110 | $3K | |
| D1120 | 83 | 83 | $2K | |
| D1208 | 105 | 105 | $2K | |
| D1206 | 70 | 70 | $960.00 | |
| D2392 | 16 | 12 | $864.00 | |
| D0220 | 204 | 200 | $855.00 | |
| D0210 | 17 | 17 | $810.00 | |
| D0140 | 19 | 18 | $338.70 | |
| D0230 | 40 | 13 | $175.00 | |
| D1999 | 249 | 245 | $0.00 | |
| D1330 | 276 | 274 | $0.00 |