NPI: 1396961207 · DALLAS, TX 75220 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 103 | $1K |
| 2021 | 2,971 | $47K |
| 2022 | 2,538 | $36K |
| 2023 | 788 | $24K |
| 2024 | 189 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 847 | 824 | $21K | |
| D1110 | 305 | 301 | $15K | |
| D0350 | 733 | 718 | $12K | |
| D0274 | 380 | 372 | $12K | |
| D1208 | 750 | 732 | $9K | |
| D0220 | 748 | 732 | $8K | |
| D0230 | 748 | 729 | $8K | |
| D2391 | 77 | 21 | $6K | |
| D0460 | 502 | 497 | $5K | |
| D2393 | 53 | 18 | $4K | |
| D2392 | 54 | 21 | $4K | |
| D1120 | 134 | 129 | $4K | |
| D0272 | 103 | 101 | $2K | |
| D1351 | 111 | 12 | $818.96 | |
| D0210 | 13 | 13 | $141.28 | |
| D0603 | 1,031 | 1,004 | $0.00 |