NPI: 1215712666 · NAMPA, ID 83687 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,201 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 187 | 187 | $14K | |
| D1120 | 184 | 184 | $6K | |
| D2392 | 57 | 28 | $3K | |
| D2391 | 40 | 26 | $2K | |
| D0330 | 20 | 20 | $1K | |
| D1351 | 286 | 44 | $920.59 | |
| D1110 | 12 | 12 | $224.22 | |
| D9230 | 98 | 85 | $92.11 | |
| D0220 | 13 | 13 | $66.34 | |
| D1206 | 173 | 173 | $0.00 | |
| D0120 | 22 | 22 | $0.00 | |
| D0272 | 71 | 71 | $0.00 | |
| D1208 | 26 | 26 | $0.00 | |
| D0274 | 12 | 12 | $0.00 |