NPI: 1245460674 · SPRINGFIELD, MO 65804 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,531 | $250K |
| 2019 | 3,966 | $162K |
| 2020 | 639 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 515 | 203 | $80K | |
| D0274 | 1,366 | 1,340 | $50K | |
| D1110 | 852 | 836 | $48K | |
| D0330 | 614 | 602 | $39K | |
| D0150 | 740 | 712 | $38K | |
| D2391 | 298 | 123 | $37K | |
| D1120 | 850 | 819 | $35K | |
| D1206 | 1,412 | 1,368 | $34K | |
| D0120 | 1,011 | 989 | $32K | |
| D0140 | 287 | 284 | $12K | |
| D0272 | 322 | 308 | $10K | |
| D0220 | 406 | 370 | $8K | |
| D0210 | 224 | 198 | $8K | |
| D1351 | 193 | 42 | $5K | |
| D2393 | 14 | 12 | $2K | |
| D0230 | 32 | 26 | $562.00 |