NPI: 1356355564 · MIDDLETON, WI 53562 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,945 | $224K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 1,132 | 1,069 | $217K |
| D2392 | 23 | 18 | $2K | |
| D1120 | 38 | 38 | $2K | |
| D1206 | 44 | 44 | $2K | |
| D1351 | 39 | 12 | $780.00 | |
| D0274 | 221 | 221 | $408.00 | |
| D0150 | 297 | 296 | $390.00 | |
| D0120 | 246 | 245 | $389.88 | |
| D0220 | 154 | 154 | $204.00 | |
| D2150 | 88 | 71 | $0.00 | |
| D2140 | 91 | 69 | $0.00 | |
| D0330 | 206 | 206 | $0.00 | |
| D1110 | 119 | 119 | $0.00 | |
| D0140 | 67 | 67 | $0.00 | |
| D7140 | 163 | 93 | $0.00 | |
| D2331 | 17 | 12 | $0.00 |