NPI: 1295869683 · BURLEY, ID 83318 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,215 | $26K |
| 2019 | 2,271 | $30K |
| 2020 | 2,891 | $56K |
| 2021 | 4,562 | $127K |
| 2022 | 4,983 | $124K |
| 2023 | 4,357 | $115K |
| 2024 | 3,879 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,592 | 2,586 | $151K | |
| D0210 | 1,000 | 999 | $149K | |
| D2393 | 640 | 390 | $102K | |
| D2392 | 1,289 | 735 | $64K | |
| D0330 | 1,532 | 1,529 | $54K | |
| D7140 | 777 | 199 | $24K | |
| D1120 | 145 | 145 | $11K | |
| D0150 | 1,431 | 1,428 | $7K | |
| D2391 | 95 | 68 | $4K | |
| D0140 | 79 | 75 | $2K | |
| D0274 | 2,797 | 2,790 | $2K | |
| D2150 | 23 | 14 | $743.56 | |
| D0120 | 1,569 | 1,562 | $188.68 | |
| D1354 | 91 | 37 | $68.00 | |
| D1351 | 572 | 119 | $0.00 | |
| D0272 | 15 | 15 | $0.00 | |
| D0220 | 2,102 | 2,052 | $-72.69 | |
| D1208 | 2,840 | 2,832 | $-198.56 | |
| D0230 | 2,971 | 1,608 | $-388.03 | |
| D9230 | 2,598 | 2,261 | $-562.02 |