NPI: 1205053899 · PROVIDENCE, RI 02908 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,299 | $324K |
| 2019 | 615 | $12K |
| 2020 | 2,668 | $292K |
| 2021 | 7,270 | $676K |
| 2022 | 6,522 | $864K |
| 2023 | 4,472 | $1.26M |
| 2024 | 2,335 | $869K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D5110 | 2,445 | 2,359 | $1.17M | |
| D5212 | 2,414 | 2,335 | $919K | |
| D5120 | 1,610 | 1,545 | $764K | |
| D5211 | 1,960 | 1,873 | $710K | |
| D7140 | 2,937 | 1,035 | $191K | |
| D0140 | 7,304 | 6,651 | $169K | |
| D7210 | 521 | 230 | $67K | |
| D0330 | 1,815 | 1,700 | $65K | |
| D9110 | 1,450 | 1,364 | $55K | |
| D5750 | 320 | 306 | $46K | |
| D0150 | 1,586 | 1,499 | $32K | |
| D1110 | 607 | 593 | $17K | |
| D5761 | 113 | 108 | $15K | |
| D5640 | 223 | 129 | $13K | |
| D1208 | 510 | 483 | $10K | |
| D5410 | 266 | 260 | $8K | |
| D0120 | 654 | 625 | $8K | |
| D5760 | 53 | 50 | $7K | |
| D0274 | 280 | 275 | $6K | |
| D5650 | 109 | 52 | $5K | |
| D5751 | 38 | 36 | $5K | |
| D0220 | 494 | 438 | $4K | |
| D2140 | 153 | 88 | $4K | |
| D5422 | 126 | 123 | $3K | |
| D2150 | 75 | 62 | $3K | |
| D5512 | 15 | 14 | $1K | |
| D5411 | 28 | 28 | $700.00 | |
| D1120 | 12 | 12 | $484.66 | |
| D0230 | 50 | 48 | $411.00 | |
| D5421 | 13 | 13 | $325.00 |