NPI: 1205253176 · BRIDGEPORT, WA 98813 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,087 | $248K |
| 2019 | 6,372 | $398K |
| 2020 | 4,093 | $245K |
| 2021 | 5,024 | $330K |
| 2022 | 5,766 | $391K |
| 2023 | 6,011 | $560K |
| 2024 | 9,337 | $626K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 11,398 | 9,335 | $2.25M |
| D0120 | 4,087 | 4,062 | $112K | |
| D1120 | 3,001 | 2,984 | $72K | |
| D1206 | 3,156 | 3,131 | $65K | |
| D0330 | 1,549 | 1,536 | $54K | |
| D2392 | 701 | 507 | $49K | |
| D1110 | 677 | 672 | $28K | |
| D0220 | 3,164 | 2,542 | $23K | |
| D0150 | 594 | 586 | $22K | |
| D0274 | 1,898 | 1,880 | $21K | |
| D2391 | 357 | 243 | $21K | |
| D0140 | 672 | 653 | $17K | |
| D0272 | 1,338 | 1,333 | $13K | |
| D1208 | 854 | 853 | $13K | |
| D0230 | 4,956 | 1,837 | $13K | |
| D4341 | 269 | 173 | $11K | |
| D1351 | 355 | 143 | $6K | |
| D0240 | 363 | 233 | $3K | |
| D9992 | 65 | 59 | $915.00 | |
| D9995 | 58 | 50 | $850.00 | |
| D0270 | 72 | 68 | $658.08 | |
| D7140 | 18 | 13 | $657.46 | |
| D0460 | 30 | 28 | $29.10 | |
| D0190 | 58 | 50 | $0.00 |