NPI: 1669062402 · TERRE HAUTE, IN 47803 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $2K |
| 2022 | 174 | $22K |
| 2023 | 1,639 | $34K |
| 2024 | 699 | $84.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 680 | 677 | $27K | |
| D0150 | 118 | 118 | $12K | |
| D0140 | 92 | 92 | $7K | |
| D2392 | 155 | 135 | $5K | |
| D7140 | 44 | 30 | $3K | |
| D1120 | 383 | 383 | $2K | |
| D2391 | 55 | 42 | $1K | |
| D1206 | 362 | 362 | $391.41 | |
| D0601 | 133 | 133 | $130.47 | |
| D0274 | 181 | 181 | $0.00 | |
| D0220 | 91 | 91 | $0.00 | |
| D1110 | 19 | 19 | $0.00 | |
| D0602 | 202 | 202 | $0.00 | |
| D2393 | 12 | 12 | $0.00 |