NPI: 1386841625 · GRAND PRAIRIE, TX 75052 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $516.46 |
| 2019 | 45 | $352.80 |
| 2020 | 4,002 | $67K |
| 2021 | 14,660 | $269K |
| 2022 | 72 | $2K |
| 2023 | 14 | $506.96 |
| 2024 | 194 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,474 | 1,849 | $86K | |
| 99392 | 598 | 594 | $44K | |
| 99391 | 546 | 532 | $38K | |
| 99212 | 1,434 | 1,109 | $33K | |
| 99393 | 443 | 435 | $33K | |
| 90460 | 3,806 | 1,562 | $29K | |
| 99214 | 402 | 374 | $20K | |
| 99394 | 235 | 221 | $18K | |
| 96110 | 1,260 | 1,237 | $10K | |
| 90461 | 2,567 | 780 | $10K | |
| 99429 | 208 | 207 | $6K | |
| 99381 | 85 | 77 | $6K | |
| 92587 | 711 | 676 | $5K | |
| 87426 | 115 | 111 | $4K | |
| 92551 | 207 | 206 | $2K | |
| 87880 | 114 | 110 | $1K | |
| 87807 | 132 | 123 | $1K | |
| 99384 | 16 | 16 | $1K | |
| 99383 | 13 | 12 | $724.56 | |
| 81002 | 159 | 154 | $450.93 | |
| 81003 | 127 | 118 | $254.86 | |
| 81025 | 12 | 12 | $73.30 | |
| 90744 | 204 | 202 | $0.02 | |
| 90680 | 338 | 334 | $0.02 | |
| 90670 | 500 | 496 | $0.02 | |
| 90651 | 127 | 123 | $0.01 | |
| 90734 | 61 | 59 | $0.01 | |
| 90715 | 14 | 14 | $0.01 | |
| 90698 | 294 | 290 | $0.00 | |
| 90686 | 617 | 610 | $0.00 | |
| 96127 | 125 | 125 | $0.00 | |
| 90716 | 39 | 39 | $0.00 | |
| 90696 | 27 | 25 | $0.00 | |
| 90633 | 183 | 183 | $0.00 | |
| 90648 | 99 | 99 | $0.00 | |
| 99173 | 560 | 542 | $0.00 | |
| 90710 | 39 | 37 | $0.00 | |
| 90700 | 72 | 72 | $0.00 | |
| 90707 | 38 | 38 | $0.00 |