NPI: 1437375789 · TILLAMOOK, OR 97141 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 304 | $184.00 |
| 2022 | 3,268 | $2K |
| 2023 | 123 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 242 | 228 | $245.00 | |
| D0191 | 200 | 200 | $234.00 | |
| D0150 | 254 | 247 | $228.00 | |
| D0210 | 153 | 148 | $174.00 | |
| D0120 | 214 | 207 | $168.00 | |
| D0274 | 216 | 210 | $145.00 | |
| D0220 | 308 | 295 | $117.00 | |
| D1206 | 266 | 261 | $95.00 | |
| D1110 | 81 | 81 | $94.00 | |
| D1120 | 157 | 153 | $80.00 | |
| D2392 | 46 | 41 | $71.00 | |
| D9995 | 202 | 201 | $65.00 | |
| D0603 | 74 | 72 | $33.00 | |
| D0230 | 71 | 44 | $0.00 | |
| D1310 | 492 | 492 | $0.00 | |
| D1330 | 623 | 616 | $0.00 | |
| D0272 | 15 | 15 | $0.00 | |
| D0602 | 16 | 16 | $0.00 | |
| D0330 | 30 | 30 | $0.00 | |
| D2391 | 16 | 13 | $0.00 | |
| D4341 | 19 | 12 | $0.00 |