NPI: 1295295152 · BONNERS FERRY, ID 83805 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,523 | $26K |
| 2020 | 2,145 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 421 | 419 | $29K | |
| D1110 | 325 | 325 | $21K | |
| D0210 | 101 | 101 | $11K | |
| D2392 | 203 | 97 | $6K | |
| D2393 | 33 | 18 | $5K | |
| D0150 | 229 | 228 | $3K | |
| D1351 | 257 | 70 | $1K | |
| D0140 | 30 | 30 | $694.60 | |
| D2391 | 53 | 30 | $563.44 | |
| D0120 | 563 | 562 | $418.07 | |
| D0330 | 24 | 24 | $235.99 | |
| D0274 | 220 | 220 | $43.06 | |
| D0220 | 237 | 235 | $36.88 | |
| D0272 | 387 | 385 | $15.87 | |
| D0230 | 100 | 81 | $0.00 | |
| D1208 | 13 | 13 | $0.00 | |
| D1206 | 472 | 470 | $-18.74 |