NPI: 1508029547 · PAWTUCKET, RI 02860 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,718 | $83K |
| 2020 | 530 | $20K |
| 2021 | 351 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 793 | 635 | $27K | |
| D1120 | 530 | 418 | $22K | |
| D0120 | 483 | 397 | $10K | |
| D2392 | 159 | 91 | $9K | |
| D1110 | 259 | 231 | $9K | |
| D1351 | 410 | 63 | $8K | |
| D0274 | 336 | 270 | $8K | |
| D0150 | 287 | 249 | $7K | |
| D2393 | 105 | 50 | $6K | |
| D0210 | 84 | 82 | $4K | |
| D2391 | 51 | 40 | $3K | |
| D0145 | 37 | 13 | $943.50 | |
| D0220 | 39 | 13 | $468.00 | |
| D0140 | 13 | 12 | $341.00 | |
| D0272 | 13 | 13 | $234.00 |