NPI: 1720140684 · TERRE HAUTE, IN 47807 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,892 | $30K |
| 2019 | 2,604 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,996 | 1,793 | $17K | |
| D2930 | 408 | 138 | $15K | |
| D0120 | 2,129 | 1,908 | $12K | |
| D1208 | 2,138 | 1,976 | $10K | |
| D2392 | 580 | 258 | $6K | |
| D1110 | 527 | 478 | $5K | |
| D1206 | 328 | 231 | $4K | |
| D3220 | 196 | 82 | $4K | |
| D0272 | 818 | 729 | $4K | |
| D9230 | 587 | 497 | $4K | |
| D0150 | 389 | 365 | $3K | |
| D0140 | 355 | 330 | $2K | |
| D0330 | 83 | 74 | $2K | |
| D2391 | 221 | 118 | $2K | |
| D7140 | 225 | 103 | $1K | |
| D0240 | 250 | 227 | $851.00 | |
| D0274 | 86 | 83 | $500.55 | |
| D9248 | 35 | 32 | $77.00 | |
| D0220 | 12 | 12 | $53.00 | |
| D1351 | 133 | 27 | $0.00 |