NPI: 1154635159 · VICKSBURG, MS 39183 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,729 | $185K |
| 2019 | 489 | $13K |
| 2020 | 946 | $29K |
| 2021 | 262 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 758 | 243 | $69K | |
| D0140 | 1,105 | 938 | $37K | |
| D1120 | 944 | 841 | $23K | |
| D0150 | 676 | 582 | $23K | |
| D2393 | 162 | 76 | $18K | |
| D7210 | 121 | 60 | $13K | |
| D1206 | 641 | 565 | $12K | |
| D0330 | 266 | 235 | $9K | |
| D0274 | 395 | 347 | $8K | |
| D9230 | 520 | 403 | $8K | |
| D0220 | 547 | 434 | $5K | |
| D2391 | 48 | 16 | $4K | |
| D7140 | 23 | 13 | $2K | |
| D1351 | 100 | 13 | $1K | |
| D0210 | 19 | 19 | $1K | |
| D0120 | 50 | 41 | $1K | |
| D1208 | 51 | 46 | $694.46 |