NPI: 1063638963 · HANNIBAL, MO 63401 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,298 | $439K |
| 2019 | 13,678 | $214K |
| 2020 | 5,196 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,545 | 708 | $103K | |
| D0120 | 4,004 | 3,844 | $98K | |
| D1351 | 4,363 | 1,137 | $91K | |
| D2391 | 1,601 | 841 | $82K | |
| D1206 | 4,649 | 4,464 | $63K | |
| D1120 | 2,839 | 2,744 | $61K | |
| D1110 | 1,756 | 1,668 | $49K | |
| D0230 | 5,429 | 4,346 | $45K | |
| D0220 | 4,824 | 4,613 | $44K | |
| D0274 | 1,596 | 1,511 | $35K | |
| D0272 | 2,393 | 2,311 | $34K | |
| D0150 | 662 | 636 | $25K | |
| D9230 | 410 | 386 | $10K | |
| D0140 | 60 | 53 | $2K | |
| D0210 | 17 | 13 | $481.00 | |
| D0145 | 24 | 24 | $381.00 |