NPI: 1275062143 · ENTERPRISE, OR 97828 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 926 | $4K |
| 2022 | 1,555 | $5K |
| 2023 | 2,966 | $7K |
| 2024 | 2,945 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 915 | 914 | $4K | |
| D2392 | 552 | 437 | $4K | |
| D0210 | 309 | 309 | $3K | |
| D0150 | 339 | 339 | $2K | |
| D0140 | 573 | 561 | $2K | |
| D1120 | 640 | 638 | $2K | |
| D0120 | 936 | 934 | $2K | |
| D1206 | 1,003 | 1,001 | $2K | |
| D2391 | 288 | 204 | $2K | |
| D0220 | 904 | 890 | $1K | |
| D0274 | 535 | 535 | $1K | |
| D4910 | 92 | 92 | $420.00 | |
| D1351 | 277 | 94 | $420.00 | |
| D0230 | 725 | 289 | $369.00 | |
| D0191 | 104 | 104 | $126.00 | |
| D0272 | 41 | 41 | $80.00 | |
| D0330 | 26 | 26 | $52.00 | |
| D0270 | 17 | 17 | $11.00 | |
| D1330 | 116 | 116 | $0.00 |