NPI: 1861954885 · CLAREMONT, NH 03743 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14,342 | $403K |
| 2020 | 19,585 | $582K |
| 2021 | 35,673 | $916K |
| 2022 | 35,724 | $887K |
| 2023 | 34,349 | $1.13M |
| 2024 | 35,382 | $1.31M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1354 | 43,011 | 8,714 | $973K | |
| D1351 | 29,900 | 5,223 | $704K | |
| D1120 | 17,892 | 17,055 | $687K | |
| D2940 | 10,015 | 3,545 | $584K | |
| D2930 | 2,811 | 1,487 | $503K | |
| D1206 | 16,677 | 16,225 | $356K | |
| D0120 | 11,112 | 10,624 | $317K | |
| D0274 | 6,127 | 5,898 | $210K | |
| D0150 | 3,520 | 3,288 | $187K | |
| D1110 | 2,473 | 2,384 | $132K | |
| D0272 | 3,676 | 3,524 | $97K | |
| D0330 | 1,878 | 1,747 | $97K | |
| D7140 | 887 | 453 | $80K | |
| D0140 | 1,431 | 1,304 | $60K | |
| D9230 | 1,258 | 1,085 | $56K | |
| D1208 | 3,266 | 2,807 | $48K | |
| D1330 | 7,265 | 6,826 | $40K | |
| D2392 | 305 | 230 | $35K | |
| D9920 | 562 | 531 | $25K | |
| D2391 | 292 | 201 | $23K | |
| D0240 | 994 | 481 | $15K | |
| D0220 | 511 | 474 | $6K | |
| D0145 | 29 | 29 | $1K | |
| D3120 | 66 | 52 | $849.09 | |
| D0270 | 13 | 13 | $246.78 | |
| D0230 | 39 | 14 | $224.00 | |
| D9986 | 72 | 70 | $0.00 | |
| D0601 | 1,351 | 1,304 | $0.00 | |
| D0603 | 7,305 | 6,634 | $0.00 | |
| D0602 | 262 | 247 | $0.00 | |
| D9995 | 55 | 53 | $0.00 |