NPI: 1215463906 · WENTZVILLE, MO 63385 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,429 | $371K |
| 2019 | 3,507 | $214K |
| 2020 | 921 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 453 | 307 | $87K | |
| D2391 | 438 | 284 | $68K | |
| D1120 | 1,201 | 1,179 | $65K | |
| D0330 | 567 | 555 | $58K | |
| D1206 | 1,359 | 1,338 | $58K | |
| D0120 | 1,253 | 1,227 | $53K | |
| D0150 | 606 | 587 | $45K | |
| D1110 | 537 | 524 | $42K | |
| D0272 | 1,011 | 985 | $40K | |
| D0274 | 537 | 530 | $29K | |
| D0140 | 282 | 275 | $21K | |
| D0220 | 713 | 692 | $18K | |
| D7140 | 88 | 59 | $13K | |
| D1351 | 227 | 64 | $11K | |
| D0230 | 299 | 162 | $10K | |
| D9230 | 96 | 83 | $7K | |
| D1208 | 178 | 170 | $6K | |
| D0145 | 12 | 12 | $876.00 |