NPI: 1669961371 · TOLEDO, OH 43605 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,946 | $102K |
| 2019 | 13,644 | $219K |
| 2020 | 1,834 | $53K |
| 2021 | 3,939 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 5,048 | 2,739 | $326K |
| 90832 | 2,570 | 933 | $41K | |
| 99213 | 2,716 | 974 | $40K | |
| D0330 | 770 | 515 | $12K | |
| D0150 | 979 | 606 | $11K | |
| D7140 | 339 | 137 | $11K | |
| 99202 | 433 | 227 | $7K | |
| D0210 | 533 | 403 | $6K | |
| D1110 | 290 | 184 | $5K | |
| D0140 | 383 | 217 | $4K | |
| D1206 | 434 | 296 | $3K | |
| D1120 | 225 | 166 | $2K | |
| 83036 | 617 | 315 | $2K | |
| 90460 | 174 | 96 | $2K | |
| 99214 | 63 | 29 | $1K | |
| 80305 | 343 | 70 | $1K | |
| 99384 | 27 | 15 | $972.56 | |
| 82962 | 959 | 396 | $825.34 | |
| D2391 | 28 | 14 | $716.94 | |
| 90686 | 93 | 58 | $452.44 | |
| 82274 | 72 | 43 | $279.00 | |
| D0272 | 65 | 47 | $270.00 | |
| 99212 | 27 | 12 | $255.29 | |
| D0220 | 113 | 69 | $225.00 | |
| D0274 | 55 | 43 | $200.00 | |
| 99406 | 234 | 105 | $183.49 | |
| 90471 | 19 | 15 | $155.77 | |
| 86803 | 15 | 12 | $96.28 | |
| D1351 | 2,036 | 286 | $88.00 | |
| 96372 | 25 | 15 | $72.85 | |
| 81025 | 26 | 12 | $65.66 | |
| D0270 | 26 | 15 | $55.00 | |
| 81002 | 50 | 26 | $34.36 | |
| 90715 | 23 | 13 | $10.00 | |
| 99408 | 96 | 49 | $8.40 | |
| 90461 | 76 | 40 | $5.00 | |
| 96160 | 124 | 68 | $0.30 | |
| 3077F | 334 | 143 | $0.00 | |
| 90633 | 21 | 13 | $0.00 | |
| 3078F | 912 | 379 | $0.00 | |
| 3045F | 43 | 12 | $0.00 | |
| 3075F | 530 | 213 | $0.00 | |
| 3074F | 1,211 | 491 | $0.00 | |
| 3080F | 329 | 139 | $0.00 | |
| 3079F | 827 | 349 | $0.00 | |
| 3044F | 1,000 | 380 | $0.00 | |
| G0396 | Alcohol/subs interv 15-30mn | 20 | 13 | $0.00 |
| 90651 | 30 | 16 | $0.00 |