NPI: 1164101754 · IDAHO FALLS, ID 83404 · 1223D0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 16 | $5K |
| 2024 | 4,315 | $546K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 1,853 | 1,449 | $551K | |
| D7140 | 299 | 141 | $0.00 | |
| D4346 | 40 | 40 | $0.00 | |
| D2392 | 248 | 168 | $0.00 | |
| D0210 | 538 | 535 | $0.00 | |
| D0120 | 55 | 55 | $0.00 | |
| D0150 | 610 | 607 | $0.00 | |
| D1330 | 71 | 70 | $0.00 | |
| D0140 | 100 | 99 | $0.00 | |
| D2393 | 29 | 25 | $0.00 | |
| D1206 | 14 | 14 | $0.00 | |
| D0220 | 67 | 67 | $0.00 | |
| D1110 | 229 | 229 | $0.00 | |
| D0431 | 120 | 119 | $0.00 | |
| D0330 | 16 | 16 | $0.00 | |
| D9986 | 20 | 19 | $0.00 | |
| D2391 | 22 | 14 | $0.00 |