NPI: 1730345661 · BETTENDORF, IA 52722 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,686 | $57K |
| 2024 | 225 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 593 | 504 | $54K | |
| D9999 | 53 | 51 | $13K | |
| D0120 | 234 | 228 | $804.13 | |
| D0140 | 51 | 50 | $534.25 | |
| D1120 | 221 | 212 | $336.70 | |
| D2392 | 37 | 35 | $310.00 | |
| D1206 | 271 | 261 | $258.56 | |
| D2391 | 41 | 40 | $213.70 | |
| D0220 | 109 | 105 | $172.97 | |
| D0150 | 19 | 19 | $106.85 | |
| D0330 | 29 | 28 | $22.60 | |
| D0603 | 19 | 18 | $20.00 | |
| D0272 | 70 | 68 | $18.80 | |
| D1110 | 13 | 13 | $0.12 | |
| D0274 | 36 | 33 | $0.00 | |
| D1310 | 38 | 38 | $0.00 | |
| D1330 | 39 | 39 | $0.00 | |
| D7140 | 14 | 13 | $0.00 | |
| D0210 | 12 | 12 | $0.00 | |
| D0601 | 12 | 12 | $0.00 |