NPI: 1194957779 · ROLLA, MO 65401 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,621 | $123K |
| 2019 | 334 | $6K |
| 2020 | 557 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 472 | 248 | $30K | |
| D2930 | 140 | 65 | $12K | |
| D7140 | 224 | 95 | $10K | |
| D0120 | 367 | 333 | $8K | |
| D1120 | 377 | 348 | $8K | |
| D2393 | 101 | 68 | $8K | |
| D0230 | 961 | 601 | $8K | |
| D3220 | 127 | 60 | $8K | |
| D0150 | 175 | 165 | $6K | |
| D0220 | 712 | 664 | $6K | |
| D1206 | 465 | 426 | $6K | |
| D3120 | 223 | 130 | $5K | |
| D1351 | 285 | 84 | $4K | |
| D0330 | 124 | 119 | $4K | |
| D9230 | 148 | 136 | $3K | |
| D2391 | 63 | 42 | $3K | |
| D1110 | 96 | 88 | $3K | |
| D0274 | 125 | 124 | $2K | |
| D0272 | 183 | 171 | $2K | |
| D0210 | 125 | 101 | $2K | |
| D0140 | 19 | 19 | $446.00 |