NPI: 1306447537 · AZLE, TX 76020 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 253 | $13K |
| 2023 | 14 | $0.00 |
| 2024 | 503 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 77 | 12 | $10K | |
| D1120 | 62 | 61 | $2K | |
| D0150 | 61 | 58 | $2K | |
| D0230 | 162 | 85 | $1K | |
| D9248 | 14 | 12 | $1K | |
| D1208 | 91 | 87 | $1K | |
| D0220 | 90 | 88 | $1K | |
| D0274 | 14 | 13 | $412.25 | |
| D0120 | 13 | 13 | $346.20 | |
| D0272 | 15 | 15 | $327.32 | |
| D0160 | 27 | 26 | $325.92 | |
| D0350 | 28 | 26 | $290.40 | |
| D1330 | 27 | 26 | $244.06 | |
| D0601 | 41 | 41 | $33.00 | |
| D0602 | 20 | 19 | $33.00 | |
| D0603 | 28 | 28 | $0.00 |