NPI: 1316395312 · JEFFERSON CITY, MO 65109 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,536 | $331K |
| 2019 | 4,757 | $246K |
| 2020 | 1,058 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,230 | 1,212 | $77K | |
| D0120 | 1,557 | 1,534 | $71K | |
| D1206 | 1,859 | 1,832 | $71K | |
| D2392 | 283 | 196 | $53K | |
| D1110 | 632 | 624 | $50K | |
| D2150 | 263 | 179 | $47K | |
| D0274 | 808 | 790 | $46K | |
| D0272 | 1,065 | 1,049 | $45K | |
| D0330 | 278 | 277 | $28K | |
| D7140 | 169 | 104 | $28K | |
| D1351 | 576 | 192 | $27K | |
| D0150 | 318 | 310 | $25K | |
| D0230 | 490 | 325 | $22K | |
| D0220 | 677 | 662 | $18K | |
| D2140 | 66 | 51 | $10K | |
| D9230 | 29 | 28 | $2K | |
| D2391 | 20 | 15 | $2K | |
| D0145 | 16 | 16 | $775.00 | |
| D0210 | 15 | 12 | $483.00 |