NPI: 1073928305 · WEST VALLEY CITY, UT 84120 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,675 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 689 | 668 | $55K | |
| D1351 | 1,634 | 169 | $38K | |
| D1120 | 694 | 673 | $11K | |
| D0150 | 32 | 31 | $3K | |
| D2150 | 28 | 14 | $2K | |
| D0272 | 315 | 304 | $1K | |
| D9230 | 86 | 77 | $1K | |
| D7140 | 23 | 13 | $1K | |
| D0220 | 583 | 553 | $572.60 | |
| D2140 | 15 | 13 | $437.69 | |
| D1206 | 771 | 744 | $319.03 | |
| D1110 | 48 | 43 | $175.48 | |
| D0330 | 31 | 28 | $158.27 | |
| D0274 | 198 | 182 | $155.96 | |
| D0230 | 528 | 504 | $67.38 |