NPI: 1184990905 · MANGILAO, GU 96923 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 843 | $81K |
| 2020 | 5,943 | $476K |
| 2021 | 5,352 | $653K |
| 2022 | 595 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | 1,138 | 944 | $224K | |
| D2930 | 263 | 240 | $203K | |
| D4220 | 267 | 252 | $166K | |
| D2140 | 841 | 717 | $143K | |
| D1120 | 1,297 | 1,292 | $75K | |
| D0150 | 895 | 890 | $66K | |
| D2160 | 413 | 328 | $63K | |
| D7140 | 187 | 181 | $56K | |
| D0120 | 1,287 | 1,281 | $54K | |
| D4341 | 88 | 86 | $52K | |
| D3220 | 74 | 68 | $29K | |
| D0274 | 721 | 720 | $25K | |
| D0220 | 1,573 | 1,554 | $23K | |
| D0230 | 1,368 | 1,358 | $16K | |
| D1203 | 755 | 753 | $15K | |
| D9230 | 447 | 442 | $14K | |
| D3120 | 199 | 163 | $14K | |
| D2330 | 81 | 77 | $13K | |
| D0272 | 517 | 515 | $13K | |
| D2161 | 76 | 63 | $12K | |
| D1110 | 149 | 149 | $8K | |
| D7210 | 26 | 24 | $6K | |
| D2335 | 13 | 12 | $6K | |
| D2950 | 17 | 17 | $3K | |
| D0210 | 29 | 29 | $2K | |
| D0140 | 12 | 12 | $804.00 |