NPI: 1154805786 · NAMPA, ID 83686 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $412.25 |
| 2020 | 597 | $12K |
| 2021 | 2,133 | $37K |
| 2022 | 2,009 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 802 | 801 | $36K | |
| D8670 | 370 | 364 | $27K | |
| D1110 | 165 | 164 | $12K | |
| D0150 | 291 | 291 | $9K | |
| D0330 | 99 | 98 | $8K | |
| D1351 | 568 | 100 | $5K | |
| D2392 | 37 | 28 | $4K | |
| D2391 | 31 | 13 | $2K | |
| D0120 | 533 | 531 | $152.07 | |
| D0274 | 129 | 128 | $84.01 | |
| D1208 | 705 | 704 | $79.32 | |
| D0272 | 528 | 527 | $0.00 | |
| D9230 | 166 | 148 | $0.00 | |
| D1206 | 339 | 338 | $-77.96 |