NPI: 1295018877 · WEST LEBANON, NH 03784 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,275 | $78K |
| 2019 | 3,668 | $94K |
| 2020 | 2,114 | $52K |
| 2021 | 4,459 | $132K |
| 2022 | 4,951 | $124K |
| 2023 | 4,298 | $120K |
| 2024 | 2,573 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,300 | 4,087 | $172K | |
| D1351 | 2,004 | 1,004 | $149K | |
| D0120 | 4,164 | 3,981 | $114K | |
| D1208 | 3,779 | 3,598 | $96K | |
| D2392 | 710 | 531 | $53K | |
| D0274 | 1,892 | 1,781 | $32K | |
| D0220 | 3,555 | 3,333 | $21K | |
| D0230 | 3,387 | 3,157 | $15K | |
| D0150 | 468 | 438 | $10K | |
| D1110 | 158 | 148 | $5K | |
| D0272 | 456 | 422 | $4K | |
| D1206 | 108 | 108 | $3K | |
| D0140 | 187 | 177 | $3K | |
| D0210 | 72 | 64 | $2K | |
| D2393 | 18 | 15 | $1K | |
| D0270 | 68 | 68 | $380.80 | |
| D0330 | 12 | 12 | $248.60 |