NPI: 1801099627 · KETTERING, OH 45420 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,144 | $64K |
| 2019 | 1,449 | $40K |
| 2020 | 558 | $10K |
| 2021 | 113 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8030 | 529 | 525 | $46K | |
| D1110 | 587 | 581 | $20K | |
| D0120 | 773 | 745 | $12K | |
| D0150 | 407 | 400 | $10K | |
| D0140 | 432 | 422 | $9K | |
| D0274 | 285 | 277 | $5K | |
| D0220 | 674 | 631 | $3K | |
| D1208 | 209 | 206 | $3K | |
| D0330 | 41 | 41 | $2K | |
| D0210 | 27 | 26 | $1K | |
| D0230 | 220 | 93 | $1K | |
| D2392 | 21 | 12 | $1K | |
| D2391 | 19 | 14 | $972.99 | |
| D1120 | 28 | 27 | $500.00 | |
| D0272 | 12 | 12 | $120.00 |