NPI: 1215591664 · PORTLAND, ME 04103 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,188 | $76K |
| 2021 | 6,636 | $393K |
| 2022 | 3,624 | $249K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 4,158 | 3,440 | $652K |
| D1206 | 874 | 460 | $15K | |
| D1120 | 634 | 345 | $14K | |
| D2392 | 511 | 283 | $10K | |
| D2391 | 431 | 248 | $6K | |
| D0120 | 976 | 658 | $6K | |
| D0274 | 752 | 524 | $5K | |
| D1110 | 1,442 | 1,174 | $5K | |
| D0150 | 509 | 409 | $2K | |
| D0210 | 456 | 379 | $1K | |
| D0140 | 187 | 154 | $625.00 | |
| D2393 | 64 | 53 | $600.00 | |
| D7140 | 95 | 56 | $450.00 | |
| D0220 | 311 | 255 | $430.00 | |
| D0330 | 16 | 13 | $100.00 | |
| D0230 | 32 | 12 | $24.00 |