NPI: 1245410984 · KENOSHA, WI 53143 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $513.15 |
| 2019 | 149 | $5K |
| 2021 | 944 | $44K |
| 2022 | 183 | $22K |
| 2023 | 393 | $0.00 |
| 2024 | 348 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 307 | 291 | $21K | |
| D1208 | 324 | 288 | $18K | |
| D0150 | 205 | 189 | $9K | |
| D0603 | 83 | 81 | $6K | |
| D0999 | 139 | 128 | $5K | |
| D0602 | 66 | 60 | $5K | |
| D0140 | 38 | 24 | $4K | |
| D2391 | 21 | 12 | $2K | |
| D1120 | 309 | 304 | $2K | |
| D0274 | 13 | 13 | $215.28 | |
| D0272 | 68 | 68 | $107.64 | |
| D1206 | 151 | 151 | $0.00 | |
| D0230 | 141 | 141 | $0.00 | |
| D0220 | 168 | 167 | $0.00 |