NPI: 1245469253 · KENOSHA, WI 53143 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $697.36 |
| 2019 | 2,118 | $35K |
| 2020 | 1,628 | $20K |
| 2021 | 2,682 | $39K |
| 2022 | 2,717 | $54K |
| 2023 | 1,100 | $20K |
| 2024 | 3,458 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,347 | 1,276 | $38K | |
| D1206 | 2,698 | 2,555 | $35K | |
| D0120 | 2,089 | 1,966 | $34K | |
| D0274 | 1,242 | 1,169 | $23K | |
| D1120 | 977 | 924 | $22K | |
| D2391 | 359 | 314 | $15K | |
| D0220 | 1,518 | 1,445 | $13K | |
| D0230 | 1,271 | 1,007 | $8K | |
| D0330 | 375 | 339 | $6K | |
| D1351 | 278 | 90 | $5K | |
| D2392 | 94 | 88 | $5K | |
| D0140 | 231 | 214 | $4K | |
| D0272 | 137 | 126 | $2K | |
| D0210 | 45 | 39 | $1K | |
| D0150 | 31 | 29 | $673.44 | |
| D0191 | 621 | 573 | $0.00 | |
| D0603 | 308 | 285 | $0.00 | |
| D0601 | 40 | 34 | $0.00 | |
| D1330 | 95 | 91 | $0.00 | |
| D0602 | 12 | 12 | $0.00 |