NPI: 1124167150 · AVONDALE, AZ 85392 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,057 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 258 | 103 | $256.00 | |
| D2930 | 168 | 47 | $246.00 | |
| D1120 | 714 | 649 | $208.88 | |
| D0120 | 630 | 581 | $114.02 | |
| D0210 | 138 | 113 | $94.00 | |
| D1206 | 579 | 555 | $79.35 | |
| D0272 | 528 | 476 | $62.91 | |
| D0220 | 666 | 611 | $53.02 | |
| D0230 | 667 | 573 | $35.70 | |
| D1208 | 147 | 113 | $15.00 | |
| D0150 | 121 | 108 | $0.00 | |
| D0140 | 30 | 29 | $0.00 | |
| D0240 | 35 | 12 | $0.00 | |
| D3220 | 20 | 12 | $0.00 | |
| D2391 | 144 | 73 | $0.00 | |
| D9230 | 161 | 138 | $0.00 | |
| D1110 | 17 | 15 | $0.00 | |
| D0274 | 34 | 32 | $0.00 |