NPI: 1083795728 · BELCOURT, ND 58316 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,166 | $93K |
| 2019 | 6,464 | $160K |
| 2023 | 79 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,851 | 1,764 | $69K | |
| D0120 | 2,123 | 1,994 | $56K | |
| D1351 | 1,218 | 624 | $52K | |
| D1208 | 1,019 | 958 | $25K | |
| D1206 | 788 | 761 | $17K | |
| D0274 | 427 | 395 | $8K | |
| D1110 | 221 | 200 | $7K | |
| D0150 | 276 | 258 | $6K | |
| D0220 | 851 | 782 | $4K | |
| D0230 | 757 | 671 | $3K | |
| D2150 | 44 | 30 | $2K | |
| D0272 | 204 | 190 | $2K | |
| D2140 | 44 | 26 | $2K | |
| D0140 | 56 | 53 | $826.20 | |
| D0602 | 456 | 439 | $0.00 | |
| D0601 | 374 | 364 | $0.00 |