NPI: 1942684782 · BROOKLYN PARK, MN 55428 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,049 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | 322 | 322 | $1K | |
| D0140 | 276 | 260 | $1K | |
| D0150 | 356 | 356 | $769.92 | |
| D0274 | 286 | 286 | $578.17 | |
| D1206 | 422 | 422 | $511.20 | |
| D0230 | 803 | 286 | $421.53 | |
| D4355 | 140 | 140 | $281.22 | |
| D0220 | 339 | 326 | $213.08 | |
| D1330 | 377 | 376 | $162.06 | |
| D1110 | 43 | 43 | $0.00 | |
| D1120 | 120 | 120 | $0.00 | |
| D7210 | 62 | 30 | $0.00 | |
| D2393 | 72 | 38 | $0.00 | |
| D0120 | 57 | 57 | $0.00 | |
| D2392 | 187 | 75 | $0.00 | |
| D1351 | 141 | 26 | $0.00 | |
| D7140 | 46 | 13 | $0.00 |