NPI: 1366099517 · BELGRADE, MT 59714 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 438 | $39K |
| 2021 | 815 | $91K |
| 2022 | 12 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0367 | 258 | 255 | $71K | |
| D9243 | 51 | 50 | $10K | |
| D0150 | 277 | 274 | $10K | |
| D2740 | 13 | 12 | $8K | |
| D0274 | 204 | 202 | $7K | |
| D9239 | 62 | 62 | $5K | |
| D7140 | 87 | 14 | $5K | |
| D2392 | 39 | 25 | $4K | |
| D1110 | 82 | 82 | $4K | |
| D0140 | 110 | 108 | $4K | |
| D5850 | 19 | 16 | $2K | |
| D2391 | 23 | 12 | $2K | |
| D2950 | 13 | 12 | $1K | |
| D1206 | 15 | 14 | $310.17 | |
| D1330 | 12 | 12 | $0.00 |