NPI: 1396795068 · EAGLE, ID 83616 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,916 | $135K |
| 2019 | 6,268 | $121K |
| 2020 | 1,805 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,533 | 2,531 | $187K | |
| D1110 | 583 | 580 | $65K | |
| D2392 | 344 | 185 | $20K | |
| D1351 | 2,768 | 753 | $7K | |
| D0330 | 50 | 50 | $5K | |
| D0120 | 3,010 | 3,003 | $2K | |
| D2930 | 16 | 12 | $2K | |
| D0140 | 66 | 66 | $2K | |
| D0150 | 117 | 117 | $771.96 | |
| D2391 | 15 | 12 | $599.83 | |
| D9230 | 479 | 434 | $129.39 | |
| D0220 | 245 | 244 | $35.85 | |
| D0272 | 1,664 | 1,663 | $15.87 | |
| D1206 | 91 | 91 | $13.55 | |
| D0274 | 46 | 46 | $0.00 | |
| D0230 | 77 | 67 | $0.00 | |
| D1208 | 2,885 | 2,880 | $-400.65 |