NPI: 1639661481 · FOND DU LAC, WI 54935 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,758 | $44K |
| 2021 | 4,445 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 538 | 514 | $20K | |
| D0150 | 827 | 759 | $17K | |
| D1208 | 452 | 433 | $11K | |
| D2930 | 79 | 65 | $10K | |
| D4341 | 31 | 25 | $9K | |
| D2391 | 183 | 156 | $9K | |
| D2392 | 112 | 98 | $8K | |
| D0120 | 297 | 285 | $8K | |
| D0274 | 521 | 476 | $7K | |
| D0220 | 1,117 | 1,041 | $6K | |
| D0230 | 908 | 844 | $5K | |
| D0140 | 297 | 274 | $5K | |
| D7210 | 56 | 39 | $4K | |
| D0330 | 212 | 200 | $4K | |
| D9230 | 147 | 132 | $4K | |
| D7140 | 56 | 53 | $3K | |
| D1110 | 72 | 71 | $3K | |
| D0272 | 171 | 170 | $1K | |
| D0210 | 86 | 62 | $1K | |
| D9110 | 16 | 16 | $880.00 | |
| D1206 | 25 | 21 | $624.00 |