NPI: 1316013436 · FORT WORTH, TX 76103 · 1223X0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62 | $699.00 |
| 2019 | 13 | $0.00 |
| 2020 | 2,342 | $47K |
| 2021 | 8,329 | $188K |
| 2022 | 7,813 | $184K |
| 2023 | 6,750 | $143K |
| 2024 | 3,142 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 3,888 | 695 | $101K | |
| D0120 | 2,795 | 2,774 | $79K | |
| D0145 | 508 | 504 | $71K | |
| D1110 | 1,215 | 1,212 | $66K | |
| D0274 | 1,978 | 1,968 | $65K | |
| D0230 | 5,518 | 2,618 | $62K | |
| D1120 | 1,614 | 1,600 | $58K | |
| D1208 | 2,880 | 2,862 | $41K | |
| D0220 | 2,700 | 2,678 | $33K | |
| D2392 | 315 | 209 | $31K | |
| D9230 | 523 | 482 | $13K | |
| D0272 | 485 | 480 | $11K | |
| D0603 | 3,462 | 3,434 | $66.02 | |
| D1999 | 404 | 378 | $20.00 | |
| D0601 | 55 | 52 | $0.00 | |
| D0602 | 111 | 107 | $0.00 |