NPI: 1609010610 · WAYZATA, MN 55391 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,965 | $12K |
| 2019 | 3,449 | $106K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,134 | 1,129 | $27K | |
| D0330 | 538 | 536 | $18K | |
| D0120 | 1,043 | 1,042 | $15K | |
| D0274 | 842 | 841 | $14K | |
| D1206 | 1,032 | 1,028 | $12K | |
| D0150 | 550 | 547 | $9K | |
| D1120 | 508 | 508 | $8K | |
| D0140 | 550 | 519 | $6K | |
| D1330 | 456 | 455 | $3K | |
| D0220 | 455 | 433 | $3K | |
| D0272 | 85 | 85 | $720.72 | |
| D0230 | 18 | 12 | $122.26 | |
| D2391 | 47 | 28 | $0.00 | |
| D2392 | 140 | 84 | $0.00 | |
| D2393 | 16 | 12 | $0.00 |