NPI: 1215044458 · PROVIDENCE, RI 02905 · 1223D0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,714 | $283K |
| 2021 | 5,928 | $334K |
| 2022 | 6,935 | $412K |
| 2023 | 7,109 | $393K |
| 2024 | 25,513 | $681K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 11,795 | 9,122 | $1.59M |
| D1206 | 5,450 | 3,013 | $101K | |
| D1120 | 3,865 | 2,279 | $93K | |
| D2392 | 1,531 | 844 | $59K | |
| D2391 | 2,452 | 1,265 | $46K | |
| D0120 | 6,681 | 3,496 | $40K | |
| D0274 | 2,755 | 2,053 | $28K | |
| D0330 | 542 | 534 | $26K | |
| D1110 | 3,838 | 2,835 | $24K | |
| D1351 | 1,723 | 391 | $23K | |
| D0150 | 1,658 | 1,070 | $17K | |
| D1354 | 776 | 179 | $13K | |
| D0272 | 683 | 683 | $12K | |
| D0140 | 1,441 | 905 | $10K | |
| D0220 | 2,110 | 1,413 | $6K | |
| D0210 | 829 | 616 | $2K | |
| D2940 | 360 | 268 | $2K | |
| D2150 | 363 | 162 | $2K | |
| D2140 | 531 | 231 | $2K | |
| D7111 | 52 | 28 | $2K | |
| D0145 | 110 | 74 | $2K | |
| D2393 | 24 | 13 | $1K | |
| D0230 | 92 | 54 | $216.00 | |
| D2330 | 29 | 16 | $100.00 | |
| D1330 | 1,679 | 1,588 | $0.00 | |
| D0603 | 505 | 467 | $0.00 | |
| D1310 | 102 | 95 | $0.00 | |
| D0602 | 1,115 | 1,055 | $0.00 | |
| D0601 | 26 | 26 | $0.00 | |
| D9992 | 82 | 40 | $0.00 |