NPI: 1346761152 · SALT LAKE CITY, UT 84113 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,090 | $35K |
| 2021 | 2,003 | $68K |
| 2022 | 3,271 | $109K |
| 2023 | 1,896 | $57K |
| 2024 | 1,349 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,922 | 1,919 | $164K | |
| D0150 | 397 | 395 | $38K | |
| D1120 | 2,222 | 2,218 | $31K | |
| D2150 | 329 | 140 | $21K | |
| D0272 | 1,515 | 1,511 | $18K | |
| D1206 | 2,101 | 2,100 | $14K | |
| D0220 | 401 | 396 | $10K | |
| D2140 | 71 | 28 | $7K | |
| D1351 | 67 | 13 | $2K | |
| D0274 | 299 | 299 | $2K | |
| D7140 | 50 | 24 | $1K | |
| D0330 | 54 | 54 | $1K | |
| D0230 | 132 | 123 | $827.55 | |
| D0140 | 13 | 13 | $408.20 | |
| D9248 | 12 | 12 | $192.71 | |
| D1110 | 12 | 12 | $0.00 | |
| D1208 | 12 | 12 | $0.00 |