NPI: 1326530510 · HANNIBAL, MO 63401 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37 | $1K |
| 2019 | 1,244 | $29K |
| 2020 | 1,045 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 275 | 275 | $12K | |
| D2392 | 183 | 108 | $9K | |
| D0120 | 268 | 268 | $7K | |
| D1120 | 410 | 410 | $7K | |
| D1206 | 487 | 487 | $5K | |
| D0272 | 236 | 236 | $3K | |
| D2391 | 68 | 43 | $3K | |
| D0330 | 79 | 79 | $2K | |
| D1110 | 64 | 64 | $2K | |
| D0274 | 69 | 69 | $1K | |
| D1351 | 43 | 14 | $946.00 | |
| D0210 | 30 | 30 | $711.00 | |
| D0220 | 67 | 64 | $485.00 | |
| D1208 | 34 | 34 | $442.00 | |
| D0140 | 13 | 13 | $314.50 |