NPI: 1386789162 · MISHAWAKA, IN 46544 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,121 | $8K |
| 2019 | 2,350 | $65K |
| 2020 | 1,900 | $37K |
| 2021 | 95 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 959 | 734 | $26K | |
| D0274 | 897 | 658 | $15K | |
| D0120 | 1,104 | 838 | $15K | |
| D0140 | 598 | 448 | $14K | |
| D0210 | 259 | 211 | $13K | |
| D0150 | 359 | 264 | $10K | |
| D0220 | 838 | 529 | $8K | |
| D1208 | 393 | 319 | $4K | |
| D2392 | 58 | 26 | $3K | |
| D0330 | 192 | 132 | $2K | |
| D1206 | 107 | 57 | $2K | |
| D0230 | 189 | 67 | $1K | |
| D1120 | 75 | 66 | $793.50 | |
| D1351 | 56 | 12 | $205.45 | |
| D1999 | 382 | 188 | $0.00 |