NPI: 1366856700 · RAYTOWN, MO 64138 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,603 | $402K |
| 2019 | 3,444 | $63K |
| 2020 | 2,498 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,080 | 2,966 | $69K | |
| D2392 | 962 | 689 | $61K | |
| D1120 | 2,758 | 2,665 | $56K | |
| D1206 | 4,190 | 4,043 | $54K | |
| D1351 | 2,987 | 886 | $52K | |
| D2391 | 759 | 542 | $38K | |
| D1110 | 1,240 | 1,199 | $34K | |
| D0272 | 2,367 | 2,286 | $33K | |
| D0150 | 717 | 697 | $26K | |
| D0274 | 1,141 | 1,105 | $23K | |
| D0330 | 588 | 574 | $18K | |
| D2150 | 234 | 166 | $13K | |
| D0210 | 419 | 396 | $9K | |
| D7140 | 94 | 74 | $5K | |
| D0145 | 160 | 143 | $5K | |
| D0140 | 179 | 171 | $4K | |
| D0220 | 410 | 403 | $4K | |
| D0350 | 94 | 94 | $2K | |
| D9996 | 107 | 107 | $2K | |
| D2393 | 14 | 13 | $1K | |
| D2930 | 14 | 13 | $1K | |
| D9230 | 13 | 12 | $284.00 | |
| D0230 | 18 | 18 | $144.00 |