NPI: 1245569995 · WARREN, MI 48092 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $817.00 |
| 2019 | 14 | $389.00 |
| 2020 | 320 | $9K |
| 2021 | 1,325 | $46K |
| 2022 | 1,225 | $42K |
| 2023 | 1,917 | $80K |
| 2024 | 1,311 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 815 | 815 | $41K | |
| D2392 | 247 | 144 | $31K | |
| D0120 | 1,143 | 1,143 | $30K | |
| D1206 | 794 | 793 | $18K | |
| D0220 | 1,100 | 1,082 | $17K | |
| D1120 | 450 | 450 | $17K | |
| D0140 | 372 | 369 | $15K | |
| D2740 | 20 | 13 | $15K | |
| D0150 | 322 | 321 | $13K | |
| D0274 | 253 | 253 | $8K | |
| D0230 | 504 | 465 | $5K | |
| D2391 | 41 | 25 | $4K | |
| D2950 | 20 | 12 | $4K | |
| D0210 | 25 | 25 | $2K | |
| D7140 | 18 | 12 | $1K | |
| D1208 | 13 | 13 | $325.00 |