NPI: 1265665657 · GRAND ISLAND, NE 68803 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,919 | $69K |
| 2019 | 3,388 | $88K |
| 2020 | 1,424 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 2,112 | 1,971 | $44K | |
| D0120 | 1,372 | 1,368 | $30K | |
| D1110 | 827 | 824 | $27K | |
| D1120 | 965 | 965 | $25K | |
| D2392 | 259 | 141 | $19K | |
| D0210 | 339 | 339 | $15K | |
| D0150 | 444 | 444 | $10K | |
| D0274 | 338 | 336 | $5K | |
| D2391 | 84 | 57 | $5K | |
| D0330 | 298 | 298 | $3K | |
| D0140 | 121 | 119 | $3K | |
| D1999 | 257 | 210 | $3K | |
| D7140 | 29 | 12 | $2K | |
| D0272 | 184 | 184 | $2K | |
| D0220 | 102 | 101 | $525.36 |