NPI: 1619351772 · FORT WAYNE, IN 46804 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 126 | $49.10 |
| 2022 | 508 | $13K |
| 2023 | 6,906 | $164K |
| 2024 | 3,030 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | 990 | 958 | $30K | |
| D1110 | 1,032 | 1,002 | $28K | |
| D2392 | 565 | 319 | $27K | |
| D0150 | 1,721 | 1,650 | $27K | |
| D7210 | 322 | 169 | $19K | |
| D2391 | 427 | 232 | $14K | |
| D1120 | 459 | 444 | $13K | |
| D4341 | 181 | 67 | $9K | |
| D0140 | 327 | 311 | $8K | |
| D0120 | 384 | 380 | $6K | |
| D1208 | 358 | 347 | $5K | |
| D7140 | 88 | 24 | $3K | |
| D0274 | 422 | 409 | $3K | |
| D2393 | 42 | 27 | $3K | |
| D0220 | 924 | 873 | $3K | |
| D0230 | 704 | 576 | $2K | |
| D9920 | 39 | 37 | $700.00 | |
| D0272 | 61 | 59 | $420.00 | |
| D1330 | 1,511 | 1,423 | $0.00 | |
| D1203 | 13 | 13 | $0.00 |