NPI: 1164540977 · TSE BONITO, NM 87301 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,418 | $167K |
| 2019 | 3,373 | $142K |
| 2020 | 581 | $17K |
| 2021 | 292 | $9K |
| 2022 | 164 | $11K |
| 2023 | 27 | $581.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 552 | 173 | $66K | |
| D9248 | 709 | 521 | $44K | |
| D3220 | 559 | 175 | $44K | |
| D1120 | 860 | 843 | $31K | |
| D7140 | 276 | 105 | $20K | |
| D1208 | 1,070 | 1,049 | $19K | |
| D0150 | 500 | 491 | $19K | |
| D1206 | 909 | 900 | $18K | |
| D0274 | 350 | 343 | $10K | |
| D2391 | 139 | 68 | $9K | |
| D0120 | 339 | 335 | $8K | |
| D3330 | 17 | 13 | $8K | |
| D0330 | 158 | 150 | $8K | |
| D0230 | 336 | 245 | $8K | |
| D0210 | 129 | 123 | $7K | |
| D0220 | 562 | 515 | $7K | |
| D4341 | 12 | 12 | $7K | |
| D3230 | 43 | 13 | $4K | |
| D9230 | 161 | 122 | $4K | |
| D0140 | 85 | 77 | $3K | |
| D1351 | 89 | 31 | $2K |