NPI: 1669425492 · BELLEVILLE, IL 62220 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 637 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 70450 | 79 | 78 | $7K | |
| 74177 | 58 | 55 | $5K | |
| 71046 | 212 | 200 | $801.36 | |
| 76805 | 12 | 12 | $637.41 | |
| 74176 | 13 | 13 | $530.26 | |
| 77067 | 21 | 21 | $481.85 | |
| 71045 | 141 | 127 | $347.75 | |
| 73030 | 26 | 25 | $289.38 | |
| 72100 | 17 | 17 | $227.19 | |
| 73630 | 17 | 14 | $214.62 | |
| 73610 | 13 | 13 | $180.83 | |
| 73560 | 13 | 13 | $151.98 | |
| 73562 | 15 | 15 | $146.13 |