NPI: 1215964234 · SOUTH OGDEN, UT 84403 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,977 | $118K |
| 2019 | 4,513 | $140K |
| 2020 | 2,101 | $53K |
| 2021 | 1,197 | $30K |
| 2023 | 408 | $11K |
| 2024 | 250 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,703 | 1,665 | $158K | |
| D0150 | 421 | 415 | $47K | |
| D0220 | 1,585 | 1,526 | $33K | |
| D2930 | 514 | 176 | $32K | |
| D2150 | 369 | 194 | $21K | |
| D1120 | 2,179 | 2,137 | $16K | |
| D0272 | 1,323 | 1,282 | $14K | |
| D2140 | 188 | 128 | $14K | |
| D1351 | 229 | 84 | $13K | |
| D1206 | 2,113 | 2,077 | $5K | |
| D0230 | 1,668 | 1,387 | $3K | |
| D7140 | 64 | 36 | $1K | |
| D0140 | 14 | 14 | $882.47 | |
| D9230 | 57 | 53 | $150.00 | |
| D1208 | 19 | 18 | $120.00 |