NPI: 1093245177 · BONNERS FERRY, ID 83805 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,270 | $43K |
| 2019 | 472 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 189 | 189 | $13K | |
| D2392 | 282 | 133 | $12K | |
| D0210 | 99 | 99 | $11K | |
| D1110 | 125 | 125 | $6K | |
| D0150 | 357 | 355 | $5K | |
| D2391 | 92 | 44 | $2K | |
| D1351 | 174 | 40 | $1K | |
| D0140 | 26 | 26 | $692.17 | |
| D0330 | 46 | 46 | $465.15 | |
| D0220 | 381 | 363 | $313.35 | |
| D1206 | 227 | 227 | $80.58 | |
| D0274 | 74 | 74 | $56.59 | |
| D0120 | 80 | 80 | $52.11 | |
| D0230 | 367 | 206 | $33.28 | |
| D0272 | 191 | 191 | $19.66 | |
| D9230 | 32 | 29 | $0.00 |