NPI: 1174575716 · OGDEN, UT 84414 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,143 | $37K |
| 2019 | 817 | $31K |
| 2020 | 829 | $28K |
| 2021 | 75 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 878 | 869 | $49K | |
| 99213 | 717 | 690 | $34K | |
| 99391 | 125 | 117 | $4K | |
| 90472 | 392 | 389 | $3K | |
| 99392 | 179 | 179 | $3K | |
| 83655 | 12 | 12 | $1K | |
| 90686 | 407 | 402 | $1K | |
| 99394 | 13 | 13 | $966.83 | |
| 36416 | 12 | 12 | $861.12 | |
| 99214 | 15 | 15 | $839.49 | |
| 90633 | 12 | 12 | $0.00 | |
| 90648 | 30 | 30 | $0.00 | |
| 99188 | 17 | 17 | $0.00 | |
| 90670 | 30 | 30 | $0.00 | |
| 90651 | 12 | 12 | $0.00 | |
| 90723 | 13 | 13 | $0.00 |