NPI: 1447414362 · FT WORTH, TX 76104 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 153 | $3K |
| 2021 | 1,977 | $36K |
| 2022 | 2,353 | $45K |
| 2023 | 1,823 | $37K |
| 2024 | 700 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 760 | 718 | $38K | |
| D0120 | 1,150 | 1,077 | $30K | |
| D0274 | 843 | 785 | $24K | |
| D1208 | 1,314 | 1,220 | $17K | |
| D1120 | 276 | 257 | $9K | |
| D0220 | 359 | 334 | $4K | |
| D2392 | 39 | 16 | $4K | |
| D0230 | 357 | 137 | $4K | |
| D9230 | 115 | 104 | $3K | |
| D0350 | 70 | 61 | $1K | |
| D0272 | 26 | 25 | $584.50 | |
| D0150 | 14 | 12 | $416.78 | |
| D0603 | 677 | 638 | $0.00 | |
| D0602 | 293 | 281 | $0.00 | |
| D0431 | 544 | 511 | $0.00 | |
| D1999 | 169 | 156 | $0.00 |