NPI: 1184635419 · OGDEN, UT 84404 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 116 | $6K |
| 2019 | 641 | $30K |
| 2020 | 587 | $22K |
| 2021 | 1,786 | $71K |
| 2022 | 374 | $14K |
| 2023 | 42 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 638 | 624 | $39K | |
| D1120 | 452 | 446 | $19K | |
| D1110 | 229 | 213 | $18K | |
| D2150 | 218 | 115 | $17K | |
| D0150 | 240 | 232 | $16K | |
| D2740 | 38 | 14 | $11K | |
| D0220 | 423 | 406 | $7K | |
| D0210 | 166 | 156 | $7K | |
| D2140 | 47 | 31 | $3K | |
| D1351 | 164 | 26 | $3K | |
| D0230 | 451 | 223 | $2K | |
| D1206 | 350 | 348 | $1K | |
| D0274 | 90 | 89 | $933.15 | |
| D0272 | 27 | 27 | $350.38 | |
| D0140 | 13 | 13 | $319.59 |