NPI: 1396924957 · WOODS CROSS, UT 84010 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 71 | $52.43 |
| 2020 | 173 | $1K |
| 2021 | 3,673 | $19K |
| 2022 | 1,597 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4657 | Syringe w/wo needle | 907 | 93 | $18K |
| 90999 | 1,741 | 156 | $3K | |
| 85018 | 203 | 88 | $2K | |
| 84100 | 315 | 241 | $1K | |
| 84520 | 495 | 223 | $1K | |
| 85025 | 200 | 188 | $1K | |
| 82310 | 287 | 253 | $779.62 | |
| 83540 | 244 | 228 | $657.82 | |
| 82040 | 246 | 228 | $620.70 | |
| 80051 | 235 | 215 | $0.00 | |
| 83550 | 245 | 228 | $0.00 | |
| 82728 | 58 | 53 | $0.00 | |
| 86706 | 14 | 14 | $0.00 | |
| 87340 | 14 | 14 | $0.00 | |
| 82565 | 220 | 202 | $0.00 | |
| 83970 | 61 | 53 | $0.00 | |
| J1756 | Iron sucrose injection | 29 | 12 | $0.00 |