NPI: 1740756139 · DAVENPORT, IA 52806 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 5,268 | $147K |
| 2020 | 5,545 | $117K |
| 2021 | 5,604 | $127K |
| 2022 | 3,543 | $69K |
| 2023 | 3,571 | $68K |
| 2024 | 2,396 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,779 | 2,715 | $97K | |
| D0120 | 3,667 | 3,578 | $61K | |
| D1206 | 3,369 | 3,282 | $50K | |
| D2740 | 201 | 107 | $46K | |
| D2150 | 848 | 499 | $44K | |
| D0274 | 1,834 | 1,770 | $42K | |
| D2392 | 452 | 290 | $31K | |
| D1120 | 1,245 | 1,190 | $30K | |
| D2140 | 599 | 354 | $24K | |
| D0220 | 2,444 | 2,333 | $24K | |
| D2950 | 309 | 179 | $20K | |
| D0150 | 845 | 793 | $18K | |
| D1208 | 1,325 | 1,265 | $18K | |
| D0330 | 398 | 371 | $16K | |
| D0230 | 1,945 | 1,840 | $15K | |
| D4910 | 170 | 168 | $10K | |
| D2160 | 134 | 104 | $9K | |
| D0140 | 329 | 305 | $7K | |
| D2393 | 83 | 69 | $6K | |
| D2391 | 113 | 77 | $5K | |
| D0603 | 874 | 858 | $4K | |
| D0272 | 243 | 229 | $4K | |
| D0210 | 26 | 26 | $1K | |
| D2332 | 16 | 14 | $1K | |
| D1354 | 96 | 52 | $404.50 | |
| D0180 | 14 | 14 | $315.22 | |
| D1999 | 1,569 | 1,376 | $0.00 |