NPI: 1154798064 · COOLIDGE, AZ 85128 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,022 | $116K |
| 2019 | 4,383 | $91K |
| 2020 | 3,177 | $58K |
| 2021 | 3,898 | $24K |
| 2022 | 4,532 | $0.00 |
| 2023 | 3,669 | $0.00 |
| 2024 | 4,491 | $111.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,444 | 3,313 | $55K | |
| D0120 | 4,025 | 3,856 | $42K | |
| D1206 | 4,397 | 4,224 | $34K | |
| D2392 | 1,400 | 828 | $33K | |
| D0220 | 4,765 | 4,505 | $24K | |
| D1110 | 1,294 | 1,232 | $20K | |
| D0274 | 1,639 | 1,569 | $19K | |
| D0230 | 4,198 | 3,878 | $18K | |
| D0272 | 1,995 | 1,914 | $18K | |
| D2391 | 478 | 316 | $16K | |
| D9230 | 469 | 408 | $4K | |
| D0210 | 136 | 131 | $2K | |
| D0240 | 164 | 138 | $2K | |
| D0150 | 334 | 323 | $2K | |
| D0140 | 230 | 223 | $377.52 | |
| D1999 | 99 | 81 | $0.00 | |
| D0330 | 19 | 19 | $0.00 | |
| D1354 | 48 | 15 | $0.00 | |
| D1351 | 38 | 13 | $0.00 |