NPI: 1093361818 · PRESTON, ID 83263 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 736 | $13K |
| 2020 | 2,803 | $40K |
| 2021 | 2,866 | $37K |
| 2022 | 1,572 | $31K |
| 2023 | 918 | $22K |
| 2024 | 569 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,080 | 1,077 | $80K | |
| D1120 | 800 | 799 | $44K | |
| D2150 | 305 | 169 | $15K | |
| D0150 | 261 | 260 | $10K | |
| D0140 | 216 | 215 | $3K | |
| D0210 | 12 | 12 | $972.98 | |
| D0274 | 595 | 592 | $813.77 | |
| D0120 | 1,720 | 1,717 | $698.89 | |
| D1351 | 59 | 12 | $249.96 | |
| D1208 | 1,401 | 1,400 | $83.88 | |
| D0220 | 722 | 713 | $62.48 | |
| D0230 | 704 | 285 | $0.00 | |
| D1206 | 224 | 223 | $0.00 | |
| D0272 | 67 | 67 | $0.00 | |
| D9230 | 510 | 492 | $0.00 | |
| D1999 | 788 | 777 | $-236.44 |