NPI: 1215614532 · GRAND RAPIDS, MN 55744 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,123 | $54K |
| 2024 | 3,132 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 407 | 403 | $33K | |
| D0120 | 702 | 696 | $29K | |
| D2392 | 223 | 125 | $29K | |
| D1120 | 383 | 380 | $23K | |
| D1206 | 765 | 760 | $22K | |
| D0330 | 226 | 225 | $18K | |
| D0274 | 311 | 307 | $16K | |
| D0140 | 274 | 264 | $11K | |
| D1330 | 403 | 403 | $11K | |
| D2393 | 65 | 44 | $10K | |
| D9986 | 278 | 253 | $5K | |
| D2394 | 14 | 12 | $3K | |
| D0150 | 60 | 60 | $3K | |
| D0220 | 144 | 143 | $2K |