NPI: 1053778118 · FORT WORTH, TX 76108 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 410 | $10K |
| 2021 | 8,696 | $204K |
| 2022 | 10,091 | $255K |
| 2023 | 9,171 | $213K |
| 2024 | 7,167 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 5,590 | 1,035 | $129K | |
| D2392 | 1,490 | 660 | $120K | |
| D0145 | 987 | 948 | $119K | |
| D1120 | 2,387 | 2,259 | $75K | |
| D0120 | 3,074 | 2,846 | $74K | |
| D1110 | 1,391 | 1,276 | $61K | |
| D0272 | 2,041 | 1,939 | $43K | |
| D2391 | 665 | 358 | $42K | |
| D0274 | 1,703 | 1,553 | $42K | |
| D1208 | 3,037 | 2,881 | $39K | |
| D0220 | 3,797 | 3,539 | $38K | |
| D0230 | 4,055 | 3,505 | $35K | |
| D0150 | 762 | 706 | $21K | |
| D0210 | 41 | 34 | $2K | |
| D1206 | 148 | 128 | $2K | |
| D0330 | 34 | 31 | $667.01 | |
| D0603 | 1,160 | 1,120 | $0.02 | |
| D0601 | 2,854 | 2,728 | $0.01 | |
| D0602 | 319 | 306 | $0.00 |