NPI: 1417363821 · SOUTH JORDAN, UT 84095 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 101 | $4K |
| 2020 | 114 | $5K |
| 2021 | 1,657 | $55K |
| 2022 | 2,884 | $103K |
| 2023 | 3,763 | $139K |
| 2024 | 2,701 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | 3,107 | 1,316 | $211K | |
| D0140 | 2,520 | 2,395 | $121K | |
| D7210 | 193 | 132 | $19K | |
| D0220 | 2,320 | 2,147 | $18K | |
| D0150 | 408 | 399 | $17K | |
| D0330 | 826 | 804 | $7K | |
| D2392 | 74 | 63 | $4K | |
| D0270 | 1,210 | 1,175 | $4K | |
| D0274 | 295 | 287 | $3K | |
| D0120 | 85 | 83 | $3K | |
| D0210 | 111 | 111 | $1K | |
| D2950 | 17 | 13 | $510.88 | |
| D1110 | 16 | 16 | $406.00 | |
| D1206 | 13 | 13 | $13.00 | |
| D0230 | 25 | 14 | $0.00 |