NPI: 1902827611 · SUMTER, SC 29150 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,935 | $135K |
| 2019 | 3,987 | $135K |
| 2020 | 1,605 | $53K |
| 2021 | 2,640 | $82K |
| 2022 | 1,701 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,389 | 2,389 | $119K | |
| D0330 | 1,148 | 1,147 | $56K | |
| D0140 | 1,258 | 1,250 | $48K | |
| D0120 | 2,214 | 2,214 | $48K | |
| D0272 | 2,324 | 2,324 | $44K | |
| D7140 | 415 | 252 | $36K | |
| D0150 | 732 | 732 | $29K | |
| D1208 | 1,742 | 1,742 | $28K | |
| D1120 | 400 | 400 | $14K | |
| D0274 | 335 | 335 | $9K | |
| D0220 | 688 | 677 | $9K | |
| D2160 | 79 | 71 | $7K | |
| D2140 | 69 | 50 | $4K | |
| D2150 | 50 | 39 | $4K | |
| D2161 | 13 | 12 | $2K | |
| D9230 | 12 | 12 | $390.00 |