NPI: 1346698396 · POTOSI, MO 63664 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,269 | $122K |
| 2019 | 4,065 | $157K |
| 2020 | 1,035 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,031 | 1,026 | $41K | |
| D1206 | 1,617 | 1,607 | $41K | |
| D2392 | 283 | 198 | $40K | |
| D0120 | 1,251 | 1,243 | $39K | |
| D1110 | 668 | 661 | $36K | |
| D0330 | 449 | 434 | $30K | |
| D7140 | 350 | 160 | $26K | |
| D0150 | 358 | 354 | $19K | |
| D0272 | 515 | 514 | $14K | |
| D0274 | 305 | 299 | $12K | |
| D2391 | 86 | 72 | $11K | |
| D0220 | 299 | 290 | $5K | |
| D1351 | 95 | 27 | $3K | |
| D0140 | 44 | 37 | $2K | |
| D0230 | 18 | 14 | $378.00 |