NPI: 1467802116 · GOTHENBURG, NE 69138 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,359 | $53K |
| 2019 | 2,498 | $60K |
| 2020 | 3,137 | $69K |
| 2021 | 4,067 | $85K |
| 2022 | 4,919 | $113K |
| 2023 | 3,682 | $97K |
| 2024 | 2,327 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 4,948 | 4,727 | $124K | |
| D0120 | 2,911 | 2,908 | $73K | |
| D1120 | 2,338 | 2,337 | $68K | |
| D2392 | 778 | 393 | $63K | |
| D1110 | 1,617 | 1,611 | $60K | |
| D0274 | 2,583 | 2,580 | $55K | |
| D1351 | 1,096 | 195 | $34K | |
| D1999 | 3,183 | 2,950 | $32K | |
| D0140 | 615 | 579 | $16K | |
| D0150 | 675 | 675 | $15K | |
| D0240 | 1,342 | 677 | $10K | |
| D0330 | 261 | 261 | $10K | |
| D0272 | 215 | 215 | $3K | |
| D0220 | 304 | 297 | $2K | |
| D2391 | 29 | 13 | $2K | |
| D0210 | 32 | 32 | $1K | |
| D9230 | 28 | 26 | $876.43 | |
| D9986 | 34 | 31 | $0.00 |