NPI: 1306493259 · LEBANON, OR 97355 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,417 | $9K |
| 2022 | 4,317 | $32K |
| 2023 | 5,363 | $26K |
| 2024 | 2,375 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,307 | 1,272 | $19K | |
| D0210 | 711 | 711 | $18K | |
| D2392 | 474 | 440 | $8K | |
| D0140 | 614 | 598 | $6K | |
| D0603 | 1,209 | 1,184 | $5K | |
| D2393 | 188 | 181 | $5K | |
| D2391 | 273 | 248 | $4K | |
| D0220 | 1,636 | 1,593 | $3K | |
| D0330 | 1,009 | 979 | $3K | |
| D0230 | 2,348 | 1,142 | $2K | |
| D0274 | 994 | 969 | $2K | |
| D1320 | 290 | 284 | $1K | |
| D0120 | 164 | 159 | $672.00 | |
| D2335 | 14 | 13 | $565.00 | |
| D1206 | 185 | 171 | $551.00 | |
| D0602 | 109 | 100 | $374.00 | |
| D1120 | 81 | 71 | $360.00 | |
| D0270 | 89 | 87 | $220.00 | |
| D1110 | 12 | 12 | $188.00 | |
| D0273 | 12 | 12 | $69.00 | |
| D1310 | 878 | 820 | $50.00 | |
| D1330 | 875 | 816 | $50.00 |