NPI: 1215339718 · DALLAS, OR 97338 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 839 | $54K |
| 2023 | 2,405 | $133K |
| 2024 | 735 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 516 | 514 | $43K | |
| D1120 | 668 | 667 | $39K | |
| D2392 | 201 | 98 | $37K | |
| D1206 | 730 | 726 | $27K | |
| D2930 | 58 | 17 | $14K | |
| D2391 | 79 | 43 | $11K | |
| D9230 | 138 | 126 | $11K | |
| D0150 | 100 | 99 | $7K | |
| D0272 | 199 | 198 | $7K | |
| D0220 | 292 | 290 | $7K | |
| D0230 | 398 | 234 | $6K | |
| D0603 | 364 | 363 | $4K | |
| D0240 | 104 | 59 | $4K | |
| D0274 | 34 | 33 | $2K | |
| D1354 | 65 | 13 | $1K | |
| D1110 | 13 | 12 | $961.27 | |
| D3120 | 20 | 14 | $0.00 |