NPI: 1134431729 · FARGO, ND 58102 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,845 | $4K |
| 2022 | 4,201 | $39.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 2,510 | 403 | $2K | |
| D2393 | 1,744 | 424 | $1K | |
| D2394 | 1,021 | 366 | $662.70 | |
| D2392 | 678 | 275 | $361.74 | |
| D1110 | 583 | 439 | $147.58 | |
| D0330 | 239 | 145 | $123.80 | |
| D0274 | 540 | 369 | $94.85 | |
| D0150 | 488 | 379 | $92.56 | |
| D1206 | 855 | 636 | $59.10 | |
| D0220 | 742 | 525 | $41.19 | |
| D0140 | 282 | 183 | $39.36 | |
| D0230 | 642 | 409 | $33.60 | |
| D0120 | 185 | 127 | $21.72 | |
| D1120 | 41 | 28 | $0.00 | |
| D9951 | 20 | 13 | $0.00 | |
| D2330 | 80 | 27 | $0.00 | |
| D1320 | 175 | 165 | $0.00 | |
| D0210 | 221 | 200 | $0.00 |