NPI: 1114190659 · SALT LAKE CITY, UT 84102 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,193 | $123K |
| 2019 | 5,128 | $180K |
| 2020 | 2,063 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | 1,879 | 1,710 | $110K | |
| D2150 | 774 | 383 | $43K | |
| D0274 | 972 | 916 | $39K | |
| D0140 | 1,027 | 880 | $32K | |
| D0120 | 1,200 | 1,162 | $28K | |
| D0230 | 1,508 | 1,243 | $27K | |
| D0272 | 364 | 350 | $20K | |
| D2140 | 387 | 229 | $18K | |
| D0150 | 537 | 498 | $13K | |
| D1351 | 301 | 76 | $12K | |
| D7140 | 285 | 98 | $10K | |
| D1206 | 1,215 | 1,158 | $5K | |
| D0330 | 332 | 289 | $5K | |
| D1120 | 1,153 | 1,110 | $4K | |
| D0470 | 36 | 30 | $3K | |
| D2391 | 25 | 15 | $3K | |
| D2392 | 25 | 14 | $2K | |
| D1110 | 328 | 300 | $1K | |
| D0350 | 36 | 30 | $0.00 |