NPI: 1871705418 · PROVIDENCE, RI 02907 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,455 | $37K |
| 2019 | 5,833 | $143K |
| 2020 | 364 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,320 | 1,302 | $39K | |
| D0330 | 1,105 | 1,095 | $34K | |
| D5110 | 91 | 89 | $28K | |
| D1208 | 1,309 | 1,292 | $23K | |
| D5211 | 58 | 58 | $13K | |
| D0150 | 639 | 636 | $13K | |
| D0120 | 1,143 | 1,123 | $11K | |
| D0272 | 544 | 536 | $7K | |
| D2140 | 284 | 149 | $7K | |
| D0140 | 591 | 577 | $6K | |
| D0220 | 499 | 474 | $5K | |
| D2150 | 34 | 28 | $1K | |
| D2330 | 17 | 12 | $560.00 | |
| D0110 | 18 | 18 | $0.00 |