NPI: 1245479013 · FORT WORTH, TX 76116 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 689 | $13K |
| 2021 | 8,763 | $198K |
| 2022 | 8,005 | $162K |
| 2023 | 6,829 | $128K |
| 2024 | 3,556 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,226 | 3,160 | $89K | |
| D1110 | 1,674 | 1,648 | $87K | |
| D0230 | 6,711 | 2,746 | $72K | |
| D0274 | 1,783 | 1,740 | $58K | |
| D1120 | 1,581 | 1,554 | $55K | |
| D1206 | 3,465 | 3,404 | $49K | |
| D2392 | 361 | 190 | $35K | |
| D0220 | 2,938 | 2,855 | $35K | |
| D0210 | 412 | 406 | $27K | |
| D1351 | 702 | 90 | $18K | |
| D2391 | 210 | 128 | $15K | |
| D9230 | 411 | 391 | $11K | |
| D0145 | 66 | 65 | $9K | |
| D0272 | 45 | 42 | $935.20 | |
| D1208 | 58 | 57 | $823.20 | |
| D0150 | 12 | 12 | $423.84 | |
| D0603 | 4,187 | 4,112 | $0.00 |