NPI: 1043989965 · ENTERPRISE, OR 97828 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 85 | $137.00 |
| 2022 | 1,508 | $6K |
| 2023 | 2,631 | $7K |
| 2024 | 1,417 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | 272 | 271 | $2K | |
| D1110 | 533 | 533 | $2K | |
| D0150 | 259 | 257 | $2K | |
| D1120 | 369 | 367 | $1K | |
| D0120 | 917 | 917 | $1K | |
| D2392 | 148 | 100 | $1K | |
| D1206 | 617 | 616 | $912.00 | |
| D0220 | 694 | 681 | $871.00 | |
| D0140 | 217 | 217 | $735.00 | |
| D2391 | 75 | 57 | $616.00 | |
| D0274 | 529 | 528 | $580.00 | |
| D0230 | 724 | 288 | $396.00 | |
| D0191 | 65 | 65 | $108.00 | |
| D0330 | 123 | 122 | $104.00 | |
| D0272 | 12 | 12 | $20.00 | |
| D1330 | 87 | 87 | $0.00 |