NPI: 1992391536 · PORTLAND, ME 04103 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,999 | $38K |
| 2022 | 4,476 | $126K |
| 2023 | 14,177 | $414K |
| 2024 | 24,370 | $667K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,877 | 4,851 | $235K | |
| D1206 | 7,131 | 7,087 | $163K | |
| D1354 | 6,151 | 1,375 | $161K | |
| D0190 | 7,251 | 7,192 | $144K | |
| D1351 | 3,243 | 626 | $98K | |
| D1110 | 1,238 | 1,234 | $79K | |
| D2940 | 1,257 | 309 | $74K | |
| D4341 | 294 | 98 | $37K | |
| D0274 | 801 | 796 | $34K | |
| D0140 | 579 | 577 | $33K | |
| D0120 | 905 | 902 | $30K | |
| D0210 | 431 | 428 | $29K | |
| D0150 | 461 | 460 | $29K | |
| D0272 | 610 | 609 | $19K | |
| D0220 | 973 | 970 | $19K | |
| D4910 | 148 | 146 | $14K | |
| D0230 | 933 | 739 | $13K | |
| D0330 | 203 | 203 | $13K | |
| D5110 | 12 | 12 | $9K | |
| D2392 | 37 | 28 | $5K | |
| D1330 | 123 | 122 | $3K | |
| D9920 | 23 | 22 | $1K | |
| D1310 | 34 | 34 | $877.14 | |
| D0270 | 14 | 14 | $265.92 | |
| D0602 | 1,027 | 1,021 | $0.00 | |
| D0603 | 2,222 | 2,202 | $0.00 | |
| D0601 | 257 | 256 | $0.00 | |
| D0350 | 2,432 | 2,403 | $0.00 | |
| D9996 | 1,355 | 1,351 | $0.00 |