NPI: 1124689005 · JEFFERSON CITY, MO 65101 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,652 | $74K |
| 2020 | 1,273 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 400 | 396 | $20K | |
| D2150 | 131 | 98 | $19K | |
| D0120 | 484 | 480 | $19K | |
| D1206 | 596 | 592 | $18K | |
| D0272 | 360 | 356 | $12K | |
| D2392 | 58 | 42 | $9K | |
| D0274 | 197 | 197 | $9K | |
| D1110 | 140 | 140 | $8K | |
| D2391 | 67 | 42 | $6K | |
| D0220 | 199 | 199 | $5K | |
| D7140 | 21 | 14 | $4K | |
| D0150 | 87 | 87 | $4K | |
| D2140 | 20 | 18 | $3K | |
| D0230 | 100 | 69 | $2K | |
| D1351 | 50 | 15 | $2K | |
| D9230 | 15 | 15 | $999.00 |