NPI: 1912345042 · PORT ORANGE, FL 32128 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,379 | $287K |
| 2019 | 3,277 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,986 | 2,946 | $99K | |
| D0120 | 3,267 | 3,227 | $89K | |
| D1351 | 1,832 | 671 | $60K | |
| D1206 | 2,380 | 2,344 | $54K | |
| D2392 | 538 | 289 | $35K | |
| D2391 | 239 | 143 | $15K | |
| D1208 | 662 | 662 | $7K | |
| D0272 | 437 | 428 | $4K | |
| D0274 | 166 | 166 | $2K | |
| D0220 | 337 | 325 | $2K | |
| D7140 | 35 | 25 | $1K | |
| D1110 | 39 | 39 | $1K | |
| D0230 | 237 | 225 | $965.40 | |
| D0603 | 245 | 242 | $930.00 | |
| D0150 | 44 | 44 | $778.80 | |
| D0140 | 17 | 15 | $391.00 | |
| D0602 | 432 | 424 | $0.00 | |
| D0601 | 1,763 | 1,740 | $0.00 |