NPI: 1407239619 · HARTFORD, WI 53027 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 265 | $14K |
| 2022 | 687 | $32K |
| 2023 | 1,394 | $75K |
| 2024 | 1,576 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 248 | 160 | $44K | |
| D0150 | 371 | 349 | $25K | |
| D2393 | 82 | 63 | $19K | |
| D1110 | 279 | 268 | $19K | |
| D1206 | 499 | 479 | $17K | |
| D0120 | 411 | 393 | $17K | |
| D1120 | 243 | 231 | $12K | |
| D0330 | 122 | 106 | $8K | |
| D2391 | 50 | 37 | $7K | |
| D0274 | 117 | 111 | $6K | |
| D0220 | 210 | 180 | $5K | |
| D0140 | 93 | 82 | $5K | |
| D1351 | 90 | 13 | $5K | |
| D9230 | 29 | 24 | $2K | |
| D0272 | 13 | 12 | $598.00 | |
| D9215 | 1,065 | 861 | $0.00 |