NPI: 1891364238 · WEST BURLINGTON, IA 52655 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 6,584 | $318K |
| 2023 | 11,274 | $513K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 3,242 | 3,077 | $793K | |
| D0120 | 1,889 | 1,867 | $6K | |
| D1120 | 897 | 889 | $6K | |
| D1206 | 2,194 | 2,176 | $5K | |
| D1110 | 1,020 | 1,012 | $5K | |
| D2392 | 179 | 135 | $2K | |
| D0330 | 324 | 321 | $2K | |
| D0210 | 326 | 318 | $2K | |
| D0274 | 633 | 631 | $2K | |
| D0272 | 318 | 311 | $2K | |
| D2391 | 183 | 132 | $1K | |
| D0603 | 521 | 518 | $1K | |
| D0601 | 863 | 846 | $1K | |
| D0602 | 693 | 686 | $850.00 | |
| D0150 | 190 | 188 | $839.97 | |
| D1351 | 373 | 62 | $793.45 | |
| D0220 | 490 | 475 | $274.09 | |
| D0140 | 365 | 355 | $245.43 | |
| D7140 | 167 | 111 | $47.40 | |
| D0230 | 194 | 102 | $30.13 | |
| D4910 | 335 | 332 | $3.17 | |
| D1310 | 183 | 181 | $0.00 | |
| D1330 | 2,279 | 2,260 | $0.00 |