NPI: 1487905998 · DEARBORN, MI 48124 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,577 | $246K |
| 2019 | 8,786 | $428K |
| 2020 | 3,737 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,067 | 486 | $211K | |
| D1120 | 3,811 | 3,808 | $160K | |
| D1206 | 3,927 | 3,925 | $112K | |
| D2392 | 496 | 311 | $62K | |
| D0150 | 825 | 824 | $51K | |
| D7140 | 506 | 295 | $44K | |
| D1354 | 1,496 | 368 | $40K | |
| D0120 | 694 | 694 | $24K | |
| D0272 | 880 | 879 | $22K | |
| D0220 | 1,074 | 1,018 | $21K | |
| D9310 | 277 | 277 | $20K | |
| D2391 | 187 | 120 | $18K | |
| D9248 | 260 | 249 | $14K | |
| D3220 | 109 | 85 | $14K | |
| D0230 | 657 | 446 | $9K | |
| D1352 | 135 | 55 | $8K | |
| D0145 | 195 | 194 | $8K | |
| D1110 | 105 | 105 | $6K | |
| D0240 | 57 | 43 | $1K | |
| D0140 | 13 | 13 | $845.00 | |
| D0274 | 15 | 15 | $616.00 | |
| D9230 | 190 | 182 | $0.00 | |
| D3120 | 124 | 80 | $0.00 |