NPI: 1275821415 · DRAPER, UT 84020 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,885 | $173K |
| 2022 | 2,351 | $66K |
| 2023 | 482 | $13K |
| 2024 | 172 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,432 | 1,430 | $163K | |
| D1351 | 1,136 | 182 | $44K | |
| D0220 | 729 | 726 | $14K | |
| D2150 | 211 | 100 | $11K | |
| D1120 | 1,393 | 1,391 | $8K | |
| D0150 | 36 | 36 | $5K | |
| D1206 | 1,512 | 1,510 | $5K | |
| D0272 | 675 | 673 | $3K | |
| D0230 | 1,181 | 558 | $2K | |
| D7140 | 28 | 14 | $1K | |
| D0274 | 377 | 377 | $613.30 | |
| D0140 | 12 | 12 | $589.46 | |
| D2140 | 30 | 16 | $378.75 | |
| D0330 | 125 | 125 | $168.09 | |
| D1110 | 13 | 13 | $0.00 |