NPI: 1730619438 · JACKSON, MI 49201 · 125K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,258 | $121K |
| 2021 | 6,605 | $164K |
| 2023 | 815 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,226 | 2,005 | $89K | |
| D1208 | 2,152 | 1,927 | $54K | |
| D0120 | 1,820 | 1,659 | $50K | |
| D1351 | 271 | 166 | $23K | |
| D2392 | 303 | 240 | $21K | |
| D4341 | 134 | 70 | $21K | |
| D0150 | 771 | 703 | $16K | |
| D9230 | 409 | 364 | $10K | |
| D0272 | 1,103 | 986 | $10K | |
| D0220 | 1,614 | 1,460 | $9K | |
| D0230 | 1,292 | 1,158 | $5K | |
| D7140 | 92 | 81 | $5K | |
| D1110 | 71 | 71 | $3K | |
| D0210 | 122 | 117 | $3K | |
| D0140 | 168 | 161 | $3K | |
| D7210 | 15 | 12 | $2K | |
| D0274 | 84 | 83 | $2K | |
| D2391 | 15 | 12 | $582.40 | |
| D1206 | 16 | 16 | $416.00 |