NPI: 1053574319 · LONGVIEW, WA 98632 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 164 | $3K |
| 2022 | 1,330 | $10K |
| 2023 | 517 | $8K |
| 2024 | 639 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 377 | 365 | $9K | |
| D0120 | 301 | 293 | $5K | |
| D0230 | 883 | 368 | $4K | |
| D0220 | 300 | 284 | $3K | |
| D1208 | 183 | 176 | $2K | |
| D0272 | 209 | 204 | $2K | |
| D0150 | 66 | 65 | $2K | |
| D2930 | 57 | 15 | $1K | |
| D1206 | 73 | 72 | $806.40 | |
| D1351 | 47 | 12 | $679.68 | |
| D0330 | 35 | 35 | $642.60 | |
| D2391 | 25 | 13 | $444.60 | |
| D9230 | 52 | 47 | $313.99 | |
| D1110 | 24 | 24 | $0.00 | |
| D9999 | 18 | 18 | $0.00 |