NPI: 1356894752 · DAVENPORT, IA 52801 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $2K |
| 2020 | 102 | $1K |
| 2021 | 16 | $2K |
| 2022 | 716 | $86K |
| 2023 | 1,660 | $39K |
| 2024 | 428 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 560 | 551 | $45K | |
| D0120 | 738 | 738 | $45K | |
| D0150 | 309 | 309 | $25K | |
| D2392 | 70 | 67 | $8K | |
| D2391 | 79 | 74 | $5K | |
| D1110 | 24 | 24 | $626.95 | |
| D1120 | 308 | 308 | $543.99 | |
| D0220 | 237 | 232 | $376.17 | |
| D1206 | 296 | 296 | $308.10 | |
| D0274 | 178 | 178 | $0.00 | |
| D0330 | 48 | 48 | $0.00 | |
| D0603 | 42 | 42 | $0.00 | |
| D0272 | 13 | 13 | $0.00 | |
| D9999 | 18 | 18 | $0.00 | |
| D0602 | 26 | 26 | $0.00 |