FT. JESSE IMAGING CENTER LLC
NPI: 1245287143
· NORMAL, IL 61761
· 261QR0206X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
63 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
|
31 |
31 |
$2K |
| 76815 |
|
13 |
12 |
$909.48 |
| 77063 |
|
19 |
19 |
$592.99 |