NPI: 1245961820 · EMMETT, ID 83617 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 794 | $93K |
| 2023 | 814 | $101K |
| 2024 | 1,295 | $148K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 1,873 | 1,051 | $329K | |
| D1110 | 94 | 94 | $6K | |
| D2392 | 108 | 60 | $3K | |
| D0140 | 140 | 136 | $2K | |
| D2391 | 46 | 31 | $338.71 | |
| D0210 | 47 | 47 | $0.00 | |
| D1330 | 16 | 16 | $0.00 | |
| D1206 | 16 | 16 | $0.00 | |
| D0150 | 159 | 159 | $0.00 | |
| D0120 | 49 | 49 | $0.00 | |
| D1310 | 59 | 59 | $0.00 | |
| D0230 | 35 | 12 | $0.00 | |
| D0220 | 144 | 135 | $0.00 | |
| D0274 | 73 | 73 | $0.00 | |
| D0330 | 44 | 44 | $0.00 |