NPI: 1588616528 · EDEN PRAIRIE, MN 55344 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 197 | $2K |
| 2019 | 288 | $3K |
| 2020 | 100 | $975.14 |
| 2021 | 2,768 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 71045 | 1,709 | 1,082 | $17K | |
| 74176 | 146 | 143 | $14K | |
| 70450 | 284 | 263 | $13K | |
| 74177 | 69 | 69 | $7K | |
| 72125 | 56 | 56 | $3K | |
| 76705 | 129 | 126 | $3K | |
| 76856 | 117 | 116 | $2K | |
| 76830 | 101 | 100 | $1K | |
| 71275 | 14 | 14 | $1K | |
| 71046 | 160 | 157 | $1K | |
| 93976 | 75 | 74 | $655.00 | |
| 73630 | 80 | 66 | $517.00 | |
| 76700 | 26 | 26 | $485.46 | |
| 74018 | 49 | 43 | $434.90 | |
| 73562 | 28 | 26 | $185.85 | |
| 99053 | 310 | 232 | $0.00 |