NPI: 1528235744 · PAPILLION, NE 68046 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,215 | $192K |
| 2019 | 7,829 | $154K |
| 2020 | 852 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,813 | 2,811 | $71K | |
| D1206 | 3,123 | 2,925 | $64K | |
| D0120 | 2,922 | 2,921 | $63K | |
| D1351 | 1,306 | 320 | $32K | |
| D2392 | 345 | 234 | $25K | |
| D0272 | 2,036 | 2,035 | $22K | |
| D0240 | 2,076 | 1,444 | $18K | |
| D9230 | 615 | 573 | $16K | |
| D0210 | 344 | 344 | $16K | |
| D0274 | 648 | 648 | $10K | |
| D1110 | 219 | 218 | $7K | |
| D7140 | 133 | 72 | $6K | |
| D0150 | 209 | 208 | $4K | |
| D0140 | 171 | 171 | $4K | |
| D1208 | 108 | 108 | $2K | |
| D2391 | 34 | 27 | $2K | |
| D0220 | 230 | 228 | $1K | |
| D0230 | 112 | 97 | $530.00 | |
| D0330 | 452 | 452 | $468.72 |