NPI: 1447335245 · FARGO, ND 58103 · 261QF0050X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $408.00 |
| 2021 | 304 | $5K |
| 2022 | 216 | $3K |
| 2023 | 293 | $5K |
| 2024 | 86 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87491 | 290 | 274 | $5K | |
| 87591 | 290 | 274 | $5K | |
| 0002A | 59 | 59 | $3K | |
| 0001A | 63 | 63 | $2K | |
| J1050 | Medroxyprogesterone acetate | 13 | 12 | $263.72 |
| 86780 | 13 | 13 | $221.30 | |
| 87210 | 27 | 27 | $149.20 | |
| 36415 | 16 | 15 | $84.95 | |
| J8499 | Oral prescrip drug non chemo | 19 | 13 | $61.75 |
| 83986 | 13 | 13 | $46.54 | |
| 91300 | 122 | 93 | $0.00 |