NPI: 1942657796 · WINTER HAVEN, FL 33881 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 350 | $4K |
| 2019 | 28 | $840.00 |
| 2020 | 4,284 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 381 | 379 | $46K | |
| D0150 | 120 | 120 | $17K | |
| D2392 | 108 | 67 | $4K | |
| D1351 | 669 | 175 | $2K | |
| D1110 | 277 | 276 | $1K | |
| D1330 | 528 | 519 | $1K | |
| D1208 | 499 | 490 | $958.93 | |
| D1999 | 37 | 36 | $942.58 | |
| D0274 | 300 | 299 | $694.43 | |
| D0272 | 171 | 171 | $684.22 | |
| D1120 | 230 | 228 | $245.97 | |
| D2391 | 18 | 13 | $159.60 | |
| D0603 | 64 | 64 | $130.25 | |
| D0220 | 470 | 467 | $126.88 | |
| D0230 | 464 | 445 | $83.00 | |
| D0602 | 33 | 33 | $77.25 | |
| D1354 | 195 | 74 | $0.00 | |
| D0330 | 84 | 84 | $0.00 | |
| D9999 | 14 | 14 | $0.00 |