NPI: 1396942850 · WEST JORDAN, UT 84084 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,751 | $138K |
| 2019 | 8,503 | $218K |
| 2020 | 8,191 | $229K |
| 2021 | 3,959 | $113K |
| 2023 | 1,840 | $40K |
| 2024 | 1,870 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,564 | 4,530 | $352K | |
| D1351 | 4,518 | 1,004 | $108K | |
| D1120 | 4,664 | 4,632 | $80K | |
| D2150 | 1,048 | 608 | $70K | |
| D0220 | 3,256 | 3,225 | $63K | |
| D0150 | 400 | 397 | $39K | |
| D2140 | 512 | 355 | $28K | |
| D1206 | 4,749 | 4,712 | $14K | |
| D0272 | 2,370 | 2,350 | $9K | |
| D0230 | 2,985 | 2,899 | $6K | |
| D7140 | 60 | 40 | $4K | |
| D2392 | 60 | 25 | $2K | |
| D0140 | 31 | 31 | $991.65 | |
| D0330 | 200 | 200 | $925.25 | |
| D0274 | 575 | 563 | $656.81 | |
| D1110 | 58 | 57 | $275.87 | |
| D9230 | 13 | 12 | $0.00 | |
| D0240 | 51 | 26 | $0.00 |