NPI: 1134260102 · PROVO, UT 84604 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,938 | $10K |
| 2019 | 1,120 | $5K |
| 2020 | 56 | $3K |
| 2021 | 43 | $2K |
| 2022 | 29 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 500 | 481 | $18K | |
| D0150 | 56 | 52 | $1K | |
| D1120 | 300 | 287 | $1K | |
| D0140 | 27 | 24 | $827.61 | |
| D1110 | 112 | 105 | $556.39 | |
| D2393 | 254 | 120 | $440.00 | |
| D0220 | 436 | 393 | $98.61 | |
| D0272 | 296 | 285 | $96.69 | |
| D1206 | 412 | 400 | $83.40 | |
| D0274 | 15 | 14 | $0.00 | |
| D0230 | 361 | 273 | $0.00 | |
| D2392 | 353 | 168 | $0.00 | |
| D0210 | 64 | 64 | $0.00 |