NPI: 1427401322 · GRESHAM, OR 97030 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 291 | $1K |
| 2019 | 2,108 | $3K |
| 2020 | 2,034 | $6K |
| 2021 | 3,347 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 974 | 972 | $5K | |
| D0210 | 664 | 660 | $4K | |
| D0140 | 906 | 895 | $3K | |
| D0220 | 1,121 | 1,091 | $2K | |
| D7140 | 32 | 12 | $1K | |
| D2392 | 145 | 118 | $859.00 | |
| D1206 | 429 | 428 | $703.00 | |
| D0603 | 233 | 233 | $407.00 | |
| D0274 | 148 | 148 | $406.00 | |
| D1120 | 148 | 148 | $394.00 | |
| D0270 | 399 | 396 | $341.00 | |
| D0230 | 462 | 275 | $261.00 | |
| D2391 | 80 | 56 | $224.00 | |
| D0272 | 16 | 16 | $60.00 | |
| D0120 | 114 | 114 | $56.00 | |
| D0602 | 28 | 28 | $55.00 | |
| D0330 | 80 | 79 | $52.00 | |
| D1110 | 25 | 24 | $47.00 | |
| D9995 | 120 | 120 | $25.00 | |
| D1330 | 859 | 854 | $20.00 | |
| D1320 | 15 | 15 | $10.00 | |
| D1310 | 782 | 780 | $0.00 |