NPI: 1346267721 · SPRINGDALE, AR 72764 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 63 | $1K |
| 2019 | 40 | $1K |
| 2020 | 24 | $332.73 |
| 2021 | 858 | $775.79 |
| 2022 | 282 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 119 | 97 | $3K |
| 0072A | 103 | 70 | $1K | |
| 0071A | 84 | 76 | $280.00 | |
| 90686 | 12 | 12 | $193.68 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $139.05 |
| 91307 | 198 | 145 | $0.54 | |
| 91300 | 310 | 279 | $0.00 | |
| 0002A | 143 | 141 | $0.00 | |
| 0004A | 14 | 14 | $0.00 | |
| 0001A | 148 | 148 | $0.00 | |
| 0011A | 35 | 35 | $0.00 | |
| 0064A | 43 | 43 | $0.00 | |
| 0012A | 21 | 21 | $0.00 | |
| 91301 | 25 | 25 | $0.00 |