NPI: 1215039987 · FLORISSANT, MO 63033 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,138 | $158K |
| 2019 | 5,401 | $106K |
| 2020 | 2,089 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,041 | 561 | $63K | |
| D2391 | 975 | 544 | $46K | |
| D1351 | 2,677 | 852 | $45K | |
| D1120 | 1,957 | 1,919 | $37K | |
| D0150 | 1,058 | 1,045 | $34K | |
| D0120 | 1,085 | 1,054 | $23K | |
| D1206 | 1,865 | 1,831 | $21K | |
| D0272 | 1,454 | 1,429 | $18K | |
| D0140 | 195 | 193 | $4K | |
| D1208 | 289 | 279 | $4K | |
| D0230 | 374 | 214 | $3K | |
| D1110 | 113 | 109 | $3K | |
| D0274 | 156 | 156 | $3K | |
| D0220 | 291 | 269 | $3K | |
| D0210 | 69 | 61 | $1K | |
| D7140 | 16 | 12 | $808.00 | |
| D9230 | 13 | 13 | $269.00 |