NPI: 1518148238 · GRAND RAPIDS, MN 55744 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,939 | $11K |
| 2019 | 1,737 | $82K |
| 2020 | 1,802 | $66K |
| 2021 | 1,875 | $84K |
| 2022 | 1,441 | $60K |
| 2023 | 1,491 | $78K |
| 2024 | 1,392 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,502 | 3,478 | $126K | |
| D1110 | 1,691 | 1,676 | $122K | |
| D1120 | 1,437 | 1,432 | $68K | |
| D1206 | 2,519 | 2,510 | $60K | |
| D0274 | 845 | 837 | $39K | |
| D2150 | 115 | 71 | $10K | |
| D0272 | 318 | 315 | $6K | |
| D2391 | 64 | 45 | $6K | |
| D2392 | 46 | 33 | $6K | |
| D0330 | 67 | 66 | $4K | |
| D0140 | 45 | 44 | $2K | |
| D0220 | 89 | 85 | $2K | |
| D9230 | 12 | 12 | $220.68 | |
| D9985 | 740 | 714 | $0.00 | |
| D1999 | 187 | 171 | $0.00 |