NPI: 1366050296 · WEST VALLEY CITY, UT 84120 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,375 | $36K |
| 2021 | 1,893 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 434 | 427 | $48K | |
| D0150 | 130 | 129 | $16K | |
| D0140 | 166 | 165 | $9K | |
| D2150 | 94 | 50 | $6K | |
| D0220 | 576 | 559 | $4K | |
| D2140 | 48 | 29 | $2K | |
| D7140 | 33 | 13 | $2K | |
| D1206 | 417 | 412 | $981.71 | |
| D1120 | 382 | 378 | $817.09 | |
| D0330 | 57 | 55 | $519.39 | |
| D0272 | 134 | 134 | $294.28 | |
| D0230 | 503 | 446 | $243.71 | |
| D0274 | 234 | 231 | $141.29 | |
| D1110 | 60 | 59 | $121.09 |