NPI: 1447701081 · FORT WORTH, TX 76103 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $0.00 |
| 2020 | 1,433 | $41K |
| 2021 | 10,364 | $314K |
| 2022 | 10,759 | $330K |
| 2023 | 5,743 | $193K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,550 | 982 | $253K | |
| D1351 | 3,602 | 1,034 | $97K | |
| D0145 | 595 | 589 | $82K | |
| D1120 | 1,911 | 1,892 | $68K | |
| D0120 | 2,025 | 2,010 | $57K | |
| D1110 | 851 | 835 | $44K | |
| D0274 | 1,280 | 1,261 | $42K | |
| D2391 | 516 | 300 | $40K | |
| D1208 | 2,715 | 2,687 | $39K | |
| D0220 | 2,727 | 2,682 | $33K | |
| D9230 | 1,185 | 1,148 | $31K | |
| D0230 | 2,741 | 2,477 | $30K | |
| D0272 | 1,204 | 1,197 | $28K | |
| D0150 | 699 | 681 | $24K | |
| D0210 | 112 | 104 | $7K | |
| D2393 | 15 | 12 | $2K | |
| D0140 | 18 | 18 | $244.14 | |
| D0270 | 14 | 14 | $67.62 | |
| D0603 | 3,552 | 3,513 | $33.00 |