NPI: 1528155025 · GRAND RAPIDS, MI 49525 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,724 | $177K |
| 2019 | 7,175 | $226K |
| 2020 | 571 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,595 | 1,594 | $62K | |
| D2150 | 717 | 524 | $59K | |
| D2140 | 815 | 616 | $55K | |
| D0120 | 1,989 | 1,988 | $54K | |
| D1208 | 1,933 | 1,932 | $45K | |
| D1110 | 669 | 669 | $35K | |
| D0274 | 853 | 852 | $29K | |
| D0220 | 1,509 | 1,496 | $25K | |
| D0230 | 2,599 | 1,315 | $23K | |
| D0272 | 399 | 399 | $9K | |
| D0150 | 201 | 201 | $9K | |
| D7140 | 68 | 50 | $6K | |
| D0210 | 52 | 52 | $4K | |
| D2930 | 18 | 16 | $3K | |
| D3220 | 18 | 16 | $2K | |
| D0191 | 35 | 35 | $525.00 |