NPI: 1053472803 · OREM, UT 84058 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,796 | $113K |
| 2019 | 359 | $4K |
| 2020 | 14 | $108.69 |
| 2023 | 69 | $820.81 |
| 2024 | 26 | $359.31 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 226 | 189 | $24K | |
| D0120 | 337 | 311 | $23K | |
| D0140 | 400 | 323 | $18K | |
| D2150 | 258 | 122 | $13K | |
| D2140 | 169 | 90 | $9K | |
| D1110 | 220 | 195 | $8K | |
| D0220 | 1,024 | 853 | $7K | |
| D0330 | 257 | 210 | $4K | |
| D0230 | 1,055 | 570 | $4K | |
| D0274 | 443 | 404 | $3K | |
| D1120 | 331 | 297 | $2K | |
| D1206 | 447 | 398 | $2K | |
| D1351 | 52 | 12 | $969.67 | |
| D0350 | 12 | 12 | $110.84 | |
| D0272 | 33 | 25 | $0.00 |