NPI: 1821878786 · BOURBONNAIS, IL 60914 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,721 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 209 | 209 | $9K | |
| D1351 | 99 | 57 | $9K | |
| D0120 | 222 | 219 | $6K | |
| D1208 | 198 | 198 | $5K | |
| D4341 | 23 | 14 | $4K | |
| D0150 | 140 | 140 | $4K | |
| D0274 | 179 | 176 | $3K | |
| D1110 | 54 | 54 | $3K | |
| D4342 | 17 | 12 | $2K | |
| D7140 | 28 | 20 | $2K | |
| D0220 | 261 | 253 | $2K | |
| D0230 | 232 | 227 | $1K | |
| D7210 | 15 | 12 | $1K | |
| D0210 | 16 | 16 | $568.32 | |
| D0140 | 12 | 12 | $210.32 | |
| D0272 | 16 | 16 | $166.35 |