NPI: 1336640713 · DAVENPORT, IA 52801 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 176 | $0.00 |
| 2021 | 14 | $2K |
| 2022 | 268 | $32K |
| 2023 | 1,264 | $29K |
| 2024 | 280 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 694 | 694 | $42K | |
| D2391 | 96 | 92 | $8K | |
| D0150 | 115 | 115 | $6K | |
| D0140 | 37 | 37 | $3K | |
| D0603 | 57 | 57 | $2K | |
| D2392 | 12 | 12 | $1K | |
| D1120 | 356 | 356 | $125.39 | |
| D0220 | 69 | 69 | $0.00 | |
| D0274 | 97 | 97 | $0.00 | |
| D0330 | 12 | 12 | $0.00 | |
| D1110 | 13 | 13 | $0.00 | |
| D1206 | 343 | 343 | $0.00 | |
| D0272 | 37 | 37 | $0.00 | |
| D9999 | 37 | 37 | $0.00 | |
| D0601 | 27 | 27 | $0.00 |