NPI: 1174145684 · MERIDIAN, ID 83642 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 830 | $15K |
| 2022 | 2,585 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 656 | 656 | $29K | |
| D0330 | 143 | 143 | $14K | |
| D0150 | 303 | 303 | $8K | |
| D1110 | 92 | 92 | $7K | |
| D2392 | 71 | 46 | $6K | |
| D2930 | 34 | 13 | $4K | |
| D1351 | 245 | 51 | $708.22 | |
| D0272 | 493 | 493 | $138.69 | |
| D0274 | 80 | 80 | $131.40 | |
| D0120 | 338 | 338 | $128.86 | |
| D1206 | 380 | 380 | $77.83 | |
| D9230 | 204 | 184 | $15.87 | |
| D0145 | 29 | 29 | $0.00 | |
| D1208 | 347 | 347 | $0.00 |