NPI: 1669620183 · WINTERVILLE, NC 28590 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,403 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,378 | 1,299 | $19K | |
| 92004 | 480 | 442 | $9K | |
| 92012 | 14 | 14 | $442.85 | |
| 92250 | 16 | 16 | $165.30 | |
| 3284F | 125 | 125 | $0.00 | |
| 1036F | 864 | 861 | $0.00 | |
| 3285F | 82 | 82 | $0.00 | |
| 4177F | 55 | 55 | $0.00 | |
| 2027F | 204 | 204 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 883 | 880 | $0.00 |
| 0517F | 81 | 81 | $0.00 | |
| 2022F | 206 | 204 | $0.00 | |
| 92015 | 15 | 15 | $0.00 |