NPI: 1104207216 · BOISE, ID 83704 · 124Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,545 | $107K |
| 2019 | 8,084 | $238K |
| 2020 | 2,264 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 935 | 933 | $83K | |
| D1120 | 1,060 | 1,059 | $80K | |
| D2392 | 1,217 | 667 | $59K | |
| D9420 | 101 | 101 | $46K | |
| D2393 | 277 | 187 | $39K | |
| D0120 | 1,685 | 1,684 | $14K | |
| D0210 | 123 | 123 | $14K | |
| D0330 | 308 | 307 | $10K | |
| D2391 | 539 | 342 | $10K | |
| D7140 | 243 | 116 | $9K | |
| D0150 | 523 | 521 | $9K | |
| D0274 | 1,045 | 1,044 | $9K | |
| D0140 | 363 | 361 | $7K | |
| D2930 | 197 | 47 | $7K | |
| D0272 | 960 | 955 | $2K | |
| D1351 | 1,436 | 293 | $936.69 | |
| D0220 | 1,536 | 1,491 | $830.35 | |
| D1208 | 2,011 | 2,008 | $470.12 | |
| D9230 | 152 | 130 | $213.17 | |
| D0240 | 13 | 13 | $8.70 | |
| D0230 | 2,061 | 1,056 | $0.00 | |
| D1206 | 108 | 108 | $0.00 |