NPI: 1417214412 · GARLAND, TX 75041 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 148 | $605.27 |
| 2021 | 1,167 | $11K |
| 2022 | 1,905 | $22K |
| 2023 | 1,056 | $12K |
| 2024 | 456 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | 369 | 325 | $14K | |
| D0145 | 80 | 79 | $7K | |
| D0120 | 339 | 324 | $6K | |
| D0230 | 1,827 | 386 | $5K | |
| D0150 | 219 | 207 | $5K | |
| D1206 | 457 | 439 | $4K | |
| D1120 | 154 | 148 | $3K | |
| D1110 | 69 | 68 | $3K | |
| D0274 | 265 | 223 | $3K | |
| D0220 | 523 | 439 | $3K | |
| D0272 | 28 | 28 | $476.95 | |
| D0603 | 199 | 190 | $0.14 | |
| D0602 | 41 | 41 | $0.05 | |
| D0601 | 149 | 144 | $0.00 | |
| D1330 | 13 | 12 | $0.00 |