NPI: 1124754544 · MISSOULA, MT 59808 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,348 | $321K |
| 2024 | 2,343 | $251K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 435 | 361 | $268K | |
| D2392 | 473 | 260 | $62K | |
| D0210 | 836 | 803 | $55K | |
| D7210 | 518 | 164 | $48K | |
| D0150 | 1,053 | 1,017 | $36K | |
| D2950 | 262 | 225 | $30K | |
| D1110 | 566 | 555 | $29K | |
| D0140 | 536 | 518 | $18K | |
| D2391 | 124 | 71 | $8K | |
| D1206 | 377 | 280 | $8K | |
| D0220 | 266 | 254 | $4K | |
| D0330 | 64 | 62 | $3K | |
| D0274 | 50 | 50 | $2K | |
| D0270 | 73 | 72 | $1K | |
| D0120 | 27 | 27 | $743.90 | |
| D1330 | 31 | 31 | $0.00 |