NPI: 1447667001 · SANTA TERESA, NM 88008 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,867 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 246 | 144 | $17K | |
| D0150 | 326 | 326 | $11K | |
| D1120 | 297 | 297 | $9K | |
| D1208 | 496 | 496 | $9K | |
| D2391 | 160 | 101 | $9K | |
| D4346 | 60 | 60 | $7K | |
| D1110 | 153 | 153 | $7K | |
| D0274 | 213 | 213 | $6K | |
| D7140 | 84 | 43 | $5K | |
| D2393 | 61 | 46 | $5K | |
| D0220 | 475 | 474 | $5K | |
| D9230 | 177 | 168 | $5K | |
| D0272 | 220 | 220 | $4K | |
| D0120 | 190 | 190 | $4K | |
| D0230 | 443 | 443 | $4K | |
| D2930 | 28 | 26 | $3K | |
| D1351 | 95 | 30 | $2K | |
| D2330 | 21 | 14 | $1K | |
| D3220 | 17 | 16 | $1K | |
| D0330 | 25 | 25 | $1K | |
| D0210 | 14 | 14 | $825.44 | |
| D0240 | 33 | 33 | $720.72 | |
| D0140 | 21 | 21 | $595.77 | |
| D0270 | 12 | 12 | $117.84 |