NPI: 1407946338 · GRAND FORKS, ND 58201 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 66 | $907.20 |
| 2022 | 43 | $513.88 |
| 2023 | 109 | $3K |
| 2024 | 233 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91320 | 56 | 56 | $2K | |
| 99605 | 14 | 14 | $980.00 | |
| 90471 | 57 | 52 | $875.02 | |
| 99212 | 25 | 24 | $852.44 | |
| 90688 | 30 | 30 | $558.16 | |
| 99211 | 29 | 26 | $460.56 | |
| 0002A | 29 | 28 | $388.80 | |
| 90656 | 60 | 60 | $377.67 | |
| 0001A | 25 | 22 | $324.00 | |
| 0011A | 12 | 12 | $194.40 | |
| 99401 | 15 | 15 | $45.00 | |
| G0008 | Admin influenza virus vac | 55 | 54 | $0.00 |
| 90480 | 44 | 43 | $0.00 |