NPI: 1578671855 · RUTLAND, VT 05701 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,658 | $112K |
| 2019 | 2,132 | $79K |
| 2020 | 132 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 1,359 | 1,161 | $49K | |
| D1110 | 550 | 545 | $26K | |
| D2392 | 171 | 74 | $21K | |
| D0120 | 815 | 813 | $19K | |
| D4355 | 233 | 231 | $19K | |
| D0330 | 252 | 252 | $15K | |
| D7140 | 112 | 69 | $11K | |
| D7210 | 67 | 40 | $10K | |
| D0220 | 528 | 494 | $9K | |
| D0272 | 288 | 278 | $7K | |
| D0150 | 91 | 86 | $3K | |
| D2393 | 14 | 12 | $2K | |
| D1208 | 122 | 121 | $2K | |
| D0230 | 308 | 110 | $2K | |
| D1120 | 12 | 12 | $408.00 |