NPI: 1780971523 · MT PROSPECT, IL 60056 · 213ES0103X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,954 | $114K |
| 2019 | 5,037 | $209K |
| 2020 | 3,331 | $149K |
| 2021 | 2,903 | $155K |
| 2022 | 1,731 | $109K |
| 2023 | 1,062 | $51K |
| 2024 | 557 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Ft insert ucb berkeley shell | 3,110 | 1,383 | $480K |
| 99213 | 4,886 | 4,166 | $119K | |
| 73630 | 3,665 | 2,092 | $85K | |
| 99203 | 1,339 | 1,118 | $47K | |
| 99204 | 588 | 479 | $33K | |
| 99214 | 541 | 491 | $19K | |
| 11721 | 1,060 | 964 | $11K | |
| 95851 | 925 | 335 | $7K | |
| 11056 | 54 | 41 | $2K | |
| 29540 | 155 | 122 | $2K | |
| 99212 | 13 | 13 | $312.00 | |
| S0395 | Impression casting ft | 1,224 | 549 | $0.00 |
| A4550 | Surgical trays | 15 | 13 | $0.00 |