NPI: 1376926980 · MERIDIAN, ID 83642 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,756 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 245 | 243 | $8K | |
| D1206 | 263 | 257 | $8K | |
| D0150 | 135 | 133 | $2K | |
| D0120 | 125 | 123 | $2K | |
| D0220 | 196 | 188 | $2K | |
| D0272 | 118 | 117 | $1K | |
| D0230 | 300 | 230 | $1K | |
| D0274 | 56 | 56 | $1K | |
| D2150 | 41 | 30 | $774.36 | |
| D1351 | 62 | 16 | $636.39 | |
| D9230 | 77 | 76 | $442.56 | |
| D0603 | 42 | 40 | $50.00 | |
| D9630 | 76 | 75 | $0.00 | |
| D9215 | 20 | 20 | $0.00 |