NPI: 1194299271 · ASTORIA, OR 97103 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,084 | $1K |
| 2020 | 4,253 | $4K |
| 2021 | 6,524 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 1,510 | 1,486 | $3K | |
| D0210 | 414 | 411 | $2K | |
| D0150 | 647 | 639 | $2K | |
| D0220 | 2,137 | 2,085 | $2K | |
| D0120 | 947 | 932 | $1K | |
| D0274 | 862 | 847 | $1K | |
| D1120 | 604 | 597 | $1K | |
| D0230 | 1,615 | 945 | $778.95 | |
| D1206 | 1,068 | 1,058 | $768.21 | |
| D2392 | 310 | 259 | $568.00 | |
| D0330 | 321 | 317 | $501.10 | |
| D1110 | 412 | 406 | $437.04 | |
| D7140 | 331 | 130 | $320.00 | |
| D2393 | 31 | 26 | $252.00 | |
| D0603 | 59 | 58 | $187.00 | |
| D2391 | 139 | 108 | $168.00 | |
| D9310 | 159 | 156 | $135.00 | |
| D0270 | 201 | 197 | $55.00 | |
| D0601 | 26 | 25 | $22.00 | |
| D0272 | 39 | 39 | $0.00 | |
| D1310 | 610 | 608 | $0.00 | |
| D1330 | 1,093 | 1,081 | $0.00 | |
| D1351 | 88 | 46 | $0.00 | |
| D9995 | 73 | 73 | $0.00 | |
| D1320 | 16 | 16 | $0.00 | |
| D0191 | 117 | 117 | $0.00 | |
| D4921 | 32 | 13 | $0.00 |