NPI: 1043744857 · GILBERT, AZ 85233 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,417 | $619.00 |
| 2019 | 4,454 | $6K |
| 2020 | 7,090 | $31K |
| 2021 | 8,840 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,167 | 634 | $17K | |
| D1120 | 2,801 | 2,757 | $9K | |
| D2391 | 864 | 326 | $6K | |
| D2930 | 461 | 174 | $6K | |
| D0150 | 930 | 907 | $3K | |
| D0272 | 2,083 | 2,050 | $3K | |
| D3220 | 431 | 173 | $3K | |
| D0220 | 2,651 | 2,509 | $3K | |
| D1208 | 2,058 | 2,018 | $3K | |
| D0120 | 1,536 | 1,512 | $3K | |
| D0230 | 2,493 | 2,282 | $2K | |
| D0145 | 378 | 369 | $1K | |
| D1206 | 944 | 936 | $1K | |
| D0330 | 416 | 406 | $1K | |
| D2393 | 246 | 115 | $1K | |
| D7962 | 57 | 43 | $1K | |
| D1351 | 396 | 146 | $1K | |
| D9230 | 347 | 319 | $776.05 | |
| D2330 | 75 | 31 | $636.45 | |
| D2332 | 66 | 37 | $484.76 | |
| D7961 | 25 | 24 | $452.36 | |
| D1110 | 57 | 57 | $422.42 | |
| D7960 | 27 | 26 | $388.00 | |
| D7140 | 44 | 28 | $326.45 | |
| D0140 | 101 | 100 | $276.89 | |
| D0274 | 57 | 57 | $258.97 | |
| D9248 | 13 | 13 | $46.63 | |
| D9993 | 14 | 13 | $0.00 | |
| D0603 | 63 | 52 | $0.00 |