NPI: 1629448170 · GREEN BAY, WI 54302 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,677 | $77K |
| 2019 | 3,574 | $52K |
| 2020 | 1,419 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 329 | 187 | $17K | |
| D0274 | 826 | 806 | $14K | |
| D1110 | 534 | 521 | $13K | |
| D0150 | 660 | 642 | $13K | |
| D1120 | 602 | 589 | $13K | |
| D0220 | 1,628 | 1,569 | $12K | |
| D7140 | 280 | 141 | $11K | |
| D1206 | 837 | 822 | $10K | |
| D0230 | 1,938 | 1,381 | $9K | |
| D2391 | 238 | 89 | $9K | |
| D0120 | 622 | 615 | $9K | |
| D1351 | 321 | 46 | $5K | |
| D0272 | 417 | 406 | $5K | |
| D0140 | 203 | 201 | $3K | |
| D1999 | 235 | 201 | $0.00 |