NPI: 1366962888 · SEDALIA, MO 65301 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,076 | $91K |
| 2019 | 2,303 | $48K |
| 2020 | 960 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,022 | 306 | $27K | |
| D1206 | 1,037 | 1,009 | $23K | |
| D2391 | 222 | 153 | $19K | |
| D1120 | 613 | 596 | $17K | |
| D0150 | 352 | 327 | $15K | |
| D2392 | 161 | 115 | $11K | |
| D0330 | 148 | 142 | $9K | |
| D0120 | 437 | 436 | $8K | |
| D0140 | 151 | 129 | $6K | |
| D0272 | 351 | 351 | $6K | |
| D1110 | 79 | 79 | $5K | |
| D0220 | 333 | 313 | $3K | |
| D0230 | 130 | 89 | $2K | |
| D0274 | 58 | 58 | $1K | |
| D9230 | 51 | 28 | $1K | |
| D0210 | 49 | 42 | $1K | |
| D7140 | 29 | 18 | $757.00 | |
| D0240 | 91 | 70 | $487.00 | |
| D0145 | 25 | 25 | $77.00 |