NPI: 1871757849 · DEARBORN, MI 48120 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,928 | $277K |
| 2019 | 4,236 | $212K |
| 2020 | 1,076 | $50K |
| 2022 | 14 | $715.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,162 | 752 | $137K | |
| D2391 | 1,058 | 681 | $93K | |
| D1120 | 1,544 | 1,543 | $61K | |
| D0120 | 2,001 | 1,999 | $52K | |
| D1110 | 919 | 918 | $42K | |
| D1208 | 1,752 | 1,751 | $42K | |
| D7140 | 439 | 294 | $32K | |
| D0210 | 340 | 339 | $23K | |
| D0150 | 398 | 398 | $16K | |
| D0274 | 472 | 471 | $15K | |
| D0140 | 233 | 229 | $9K | |
| D0272 | 340 | 340 | $8K | |
| D0220 | 390 | 377 | $6K | |
| D0330 | 58 | 58 | $4K | |
| D0230 | 148 | 101 | $1K |