NPI: 1336228972 · MIDVALE, UT 84047 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 586 | $20K |
| 2020 | 566 | $21K |
| 2021 | 520 | $21K |
| 2022 | 626 | $25K |
| 2023 | 122 | $3K |
| 2024 | 25 | $582.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 612 | 605 | $49K | |
| D0220 | 136 | 130 | $19K | |
| D0274 | 235 | 232 | $9K | |
| D2392 | 45 | 26 | $3K | |
| D2391 | 43 | 25 | $3K | |
| D0150 | 15 | 15 | $3K | |
| D1120 | 460 | 459 | $1K | |
| D0272 | 153 | 152 | $833.00 | |
| D0140 | 130 | 125 | $604.68 | |
| D1206 | 423 | 420 | $436.25 | |
| D7210 | 42 | 25 | $273.87 | |
| D0330 | 28 | 28 | $100.48 | |
| D1110 | 38 | 38 | $0.00 | |
| D2150 | 45 | 26 | $0.00 | |
| D2140 | 40 | 25 | $0.00 |