NPI: 1811199656 · MELROSE PARK, IL 60160 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,750 | $168K |
| 2019 | 311 | $9K |
| 2021 | 15 | $722.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 1,019 | 956 | $82K |
| D1120 | 1,266 | 1,111 | $30K | |
| D1206 | 1,304 | 1,121 | $24K | |
| D1351 | 1,187 | 332 | $14K | |
| D0120 | 606 | 566 | $9K | |
| D2392 | 156 | 105 | $8K | |
| D0274 | 176 | 168 | $4K | |
| D2391 | 65 | 49 | $2K | |
| D1110 | 146 | 125 | $2K | |
| D0150 | 49 | 49 | $1K | |
| D0272 | 56 | 56 | $1K | |
| D0431 | 24 | 21 | $208.00 | |
| D0602 | 22 | 22 | $0.00 |