NPI: 1104379106 · GRAND PRAIRIE, TX 75052 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 182 | $9K |
| 2021 | 2,920 | $148K |
| 2022 | 3,948 | $229K |
| 2023 | 3,121 | $157K |
| 2024 | 344 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,736 | 722 | $256K | |
| D2391 | 1,965 | 620 | $142K | |
| D1351 | 1,197 | 212 | $32K | |
| D0120 | 778 | 773 | $21K | |
| D1110 | 345 | 343 | $18K | |
| D1208 | 1,013 | 1,006 | $14K | |
| D1120 | 350 | 347 | $12K | |
| D2331 | 139 | 66 | $12K | |
| D0274 | 404 | 399 | $12K | |
| D0145 | 88 | 86 | $12K | |
| D0272 | 351 | 348 | $7K | |
| D2330 | 85 | 41 | $6K | |
| D0150 | 90 | 89 | $3K | |
| D2393 | 23 | 14 | $2K | |
| D2332 | 17 | 13 | $2K | |
| D0330 | 51 | 51 | $1K | |
| D0603 | 597 | 591 | $0.00 | |
| D0601 | 158 | 156 | $0.00 | |
| D0602 | 128 | 125 | $0.00 |