NPI: 1194903567 · WATERTOWN, SD 57201 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $472.36 |
| 2022 | 67 | $2K |
| 2023 | 569 | $32K |
| 2024 | 3,906 | $345K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | 243 | 64 | $57K | |
| D2392 | 284 | 185 | $45K | |
| D0150 | 700 | 700 | $43K | |
| D1110 | 540 | 540 | $36K | |
| D7140 | 231 | 69 | $31K | |
| D0210 | 190 | 190 | $26K | |
| D2391 | 180 | 119 | $23K | |
| D9243 | 41 | 37 | $20K | |
| D1120 | 372 | 372 | $19K | |
| D0274 | 350 | 350 | $16K | |
| D0330 | 173 | 173 | $15K | |
| D0120 | 327 | 327 | $13K | |
| D1206 | 360 | 359 | $11K | |
| D9230 | 221 | 193 | $9K | |
| D9239 | 41 | 37 | $6K | |
| D0220 | 239 | 231 | $5K | |
| D0140 | 26 | 26 | $2K | |
| D0272 | 40 | 40 | $2K |