NPI: 1275912040 · SALT LAKE CITY, UT 84121 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,851 | $254K |
| 2019 | 5,311 | $134K |
| 2020 | 2,030 | $53K |
| 2021 | 4,870 | $133K |
| 2022 | 12,222 | $336K |
| 2023 | 6,895 | $205K |
| 2024 | 5,876 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 2,710 | 2,688 | $555K | |
| D0120 | 2,214 | 2,195 | $374K | |
| D1351 | 10,267 | 2,466 | $92K | |
| D1120 | 4,961 | 4,918 | $56K | |
| D2392 | 722 | 394 | $52K | |
| D0230 | 11,400 | 4,628 | $29K | |
| D1206 | 5,149 | 5,106 | $26K | |
| D0272 | 2,421 | 2,398 | $23K | |
| D0220 | 4,692 | 4,651 | $22K | |
| D2391 | 383 | 223 | $20K | |
| D2150 | 837 | 477 | $11K | |
| D0274 | 1,425 | 1,420 | $7K | |
| D2140 | 686 | 435 | $4K | |
| D1110 | 91 | 91 | $2K | |
| D2330 | 21 | 19 | $384.85 | |
| D7140 | 38 | 28 | $164.20 | |
| D2160 | 25 | 14 | $155.23 | |
| D0210 | 13 | 13 | $0.00 |