NPI: 1083098453 · FORT WORTH, TX 76304 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 575 | $14K |
| 2021 | 6,489 | $137K |
| 2022 | 6,261 | $103K |
| 2023 | 8,409 | $176K |
| 2024 | 4,839 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,933 | 2,800 | $96K | |
| D0120 | 2,852 | 2,731 | $75K | |
| D2930 | 455 | 136 | $55K | |
| D1351 | 2,309 | 516 | $55K | |
| D0272 | 2,029 | 1,950 | $43K | |
| D0230 | 3,238 | 2,336 | $32K | |
| D0220 | 2,764 | 2,579 | $31K | |
| D1206 | 1,984 | 1,920 | $27K | |
| D0145 | 174 | 169 | $22K | |
| D2392 | 203 | 126 | $17K | |
| D1208 | 1,152 | 1,079 | $15K | |
| D9230 | 531 | 481 | $13K | |
| D7140 | 263 | 93 | $12K | |
| D0150 | 198 | 186 | $6K | |
| D0330 | 42 | 41 | $2K | |
| D0140 | 89 | 87 | $1K | |
| D1110 | 27 | 27 | $1K | |
| D1330 | 1,254 | 1,239 | $657.75 | |
| D0274 | 13 | 13 | $416.93 | |
| D0603 | 4,063 | 3,938 | $0.00 |