NPI: 1891002994 · BOURBONNAIS, IL 60914 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,659 | $168K |
| 2019 | 12,698 | $343K |
| 2020 | 10,384 | $264K |
| 2021 | 7,081 | $216K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,456 | 3,968 | $174K | |
| D0120 | 5,628 | 4,976 | $148K | |
| D7140 | 2,491 | 1,440 | $144K | |
| D1351 | 1,573 | 875 | $122K | |
| D1208 | 4,335 | 3,854 | $107K | |
| D1110 | 1,689 | 1,496 | $64K | |
| D0274 | 3,229 | 2,895 | $52K | |
| D0150 | 1,870 | 1,668 | $38K | |
| D0140 | 1,929 | 1,699 | $30K | |
| D0220 | 4,494 | 3,983 | $24K | |
| D2392 | 247 | 176 | $15K | |
| D5110 | 41 | 40 | $15K | |
| D0230 | 2,074 | 1,697 | $15K | |
| D5120 | 26 | 26 | $10K | |
| D7210 | 135 | 108 | $9K | |
| D0272 | 953 | 852 | $9K | |
| D0210 | 447 | 394 | $8K | |
| D2751 | 36 | 28 | $8K | |
| D1999 | 1,169 | 961 | $0.00 |