NPI: 1184108706 · FRUITLAND, ID 83619 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 115 | $2K |
| 2019 | 1,258 | $22K |
| 2020 | 2,663 | $53K |
| 2021 | 4,267 | $85K |
| 2022 | 2,604 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,647 | 1,639 | $78K | |
| D1110 | 450 | 450 | $32K | |
| D2392 | 363 | 230 | $27K | |
| D2391 | 432 | 266 | $20K | |
| D0330 | 251 | 248 | $16K | |
| D0120 | 1,510 | 1,504 | $10K | |
| D1351 | 1,370 | 319 | $8K | |
| D0150 | 517 | 514 | $7K | |
| D0272 | 1,188 | 1,177 | $5K | |
| D1206 | 1,700 | 1,697 | $4K | |
| D9230 | 642 | 589 | $3K | |
| D0274 | 330 | 330 | $2K | |
| D8670 | 26 | 24 | $1K | |
| D0210 | 14 | 14 | $887.87 | |
| D0140 | 24 | 24 | $873.24 | |
| D1208 | 332 | 330 | $323.00 | |
| D0220 | 82 | 79 | $117.00 | |
| D0240 | 16 | 12 | $48.00 | |
| D0145 | 13 | 13 | $0.00 |