NPI: 1053708297 · THE DALLES, OR 97058 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,196 | $15K |
| 2019 | 619 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 161 | 147 | $7K | |
| 77067 | 182 | 170 | $3K | |
| 70450 | 138 | 129 | $3K | |
| 93976 | 80 | 74 | $2K | |
| 71046 | 445 | 411 | $2K | |
| 76856 | 55 | 53 | $1K | |
| 76830 | 42 | 40 | $1K | |
| 76705 | 51 | 46 | $994.01 | |
| 71045 | 181 | 133 | $530.78 | |
| 71260 | 12 | 12 | $301.87 | |
| 73610 | 45 | 38 | $217.11 | |
| 73562 | 31 | 27 | $165.24 | |
| 73630 | 34 | 28 | $140.12 | |
| 73030 | 31 | 25 | $130.25 | |
| 73502 | 17 | 13 | $97.16 | |
| 73130 | 15 | 12 | $72.81 | |
| 73110 | 14 | 14 | $69.03 | |
| G9551 | Imag no les | 28 | 27 | $0.00 |
| G9637 | Doc >1 dose reduc tech | 240 | 174 | $0.00 |
| 71020 | 13 | 13 | $0.00 |