NPI: 1275985889 · GLADSTONE, MO 64118 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,968 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 621 | 621 | $25K | |
| D1206 | 622 | 622 | $16K | |
| D0120 | 525 | 525 | $14K | |
| D2392 | 220 | 144 | $11K | |
| D2391 | 242 | 184 | $8K | |
| D0274 | 431 | 431 | $7K | |
| D0150 | 332 | 332 | $7K | |
| D0220 | 329 | 328 | $2K | |
| D1110 | 55 | 55 | $1K | |
| D0230 | 291 | 282 | $1K | |
| D0140 | 74 | 73 | $1K | |
| D7140 | 23 | 14 | $1K | |
| D0210 | 109 | 108 | $1K | |
| D0272 | 64 | 64 | $582.80 | |
| D0330 | 30 | 30 | $519.80 |