NPI: 1245358548 · JACKSON, MI 49201 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,287 | $423K |
| 2019 | 6,386 | $376K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,417 | 626 | $172K | |
| D2930 | 753 | 374 | $140K | |
| D1120 | 2,263 | 2,261 | $94K | |
| D0120 | 2,428 | 2,426 | $81K | |
| D2391 | 738 | 430 | $69K | |
| D1206 | 2,405 | 2,403 | $67K | |
| D7140 | 624 | 350 | $52K | |
| D0272 | 1,346 | 1,341 | $35K | |
| D3220 | 241 | 144 | $30K | |
| D0150 | 323 | 323 | $19K | |
| D9248 | 249 | 245 | $14K | |
| D0240 | 379 | 356 | $8K | |
| D1110 | 124 | 124 | $6K | |
| D0220 | 234 | 232 | $5K | |
| D1351 | 128 | 42 | $4K | |
| D2332 | 21 | 15 | $3K |