NPI: 1598431421 · KENOSHA, WI 53142 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 25 | $0.00 |
| 2022 | 1,041 | $19K |
| 2023 | 3,413 | $99K |
| 2024 | 2,122 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,118 | 1,118 | $45K | |
| D1208 | 1,149 | 1,149 | $29K | |
| D0120 | 1,080 | 1,078 | $28K | |
| D1351 | 243 | 125 | $21K | |
| D2392 | 133 | 103 | $11K | |
| D0220 | 1,144 | 1,139 | $8K | |
| D0230 | 1,103 | 1,087 | $8K | |
| D0274 | 350 | 349 | $7K | |
| D0150 | 98 | 98 | $3K | |
| D2393 | 15 | 12 | $2K | |
| D0272 | 112 | 112 | $2K | |
| D4355 | 17 | 17 | $1K | |
| D1110 | 26 | 25 | $897.29 | |
| D0210 | 13 | 13 | $461.76 |