NPI: 1245620970 · PALMVIEW, TX 78572 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 60 | $873.06 |
| 2021 | 2,344 | $39K |
| 2022 | 2,552 | $40K |
| 2023 | 2,434 | $37K |
| 2024 | 2,139 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | 3,419 | 1,232 | $33K | |
| D0120 | 1,064 | 1,056 | $29K | |
| D1110 | 529 | 524 | $27K | |
| D0220 | 1,359 | 1,322 | $15K | |
| D1208 | 995 | 990 | $14K | |
| D1120 | 388 | 387 | $14K | |
| D0274 | 425 | 422 | $14K | |
| D0150 | 29 | 29 | $1K | |
| D0272 | 25 | 25 | $542.56 | |
| D1330 | 345 | 345 | $247.62 | |
| D0601 | 44 | 43 | $0.00 | |
| D0603 | 854 | 848 | $0.00 | |
| D0602 | 53 | 52 | $0.00 |