NPI: 1518377720 · FOND DU LAC, WI 54935 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,198 | $20K |
| 2022 | 226 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 205 | 203 | $8K | |
| 0001A | 192 | 191 | $7K | |
| 0011A | 82 | 69 | $2K | |
| 0012A | 59 | 51 | $2K | |
| 0124A | 29 | 29 | $877.68 | |
| 0071A | 20 | 20 | $763.20 | |
| 0004A | 21 | 21 | $725.04 | |
| 0072A | 18 | 18 | $686.88 | |
| 90686 | 12 | 12 | $401.72 | |
| 91307 | 50 | 45 | $0.00 | |
| 91301 | 147 | 121 | $0.00 | |
| 91305 | 56 | 53 | $0.00 | |
| 91300 | 504 | 451 | $0.00 | |
| 91312 | 29 | 29 | $0.00 |