NPI: 1447921747 · MERIDIAN, ID 83646 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 612 | $14K |
| 2022 | 11,657 | $247K |
| 2023 | 11,379 | $239K |
| 2024 | 8,158 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,400 | 3,400 | $205K | |
| D1110 | 1,515 | 1,515 | $129K | |
| D2392 | 1,279 | 806 | $108K | |
| D0330 | 658 | 658 | $44K | |
| D0210 | 262 | 262 | $38K | |
| D1351 | 5,387 | 799 | $34K | |
| D2391 | 385 | 294 | $28K | |
| D2930 | 247 | 99 | $28K | |
| D0150 | 356 | 356 | $20K | |
| D7140 | 299 | 177 | $10K | |
| D0274 | 1,218 | 1,218 | $6K | |
| D0140 | 181 | 179 | $5K | |
| D0120 | 4,464 | 4,464 | $3K | |
| D0220 | 1,426 | 1,245 | $203.38 | |
| D1208 | 4,177 | 4,177 | $72.91 | |
| D0272 | 2,149 | 2,149 | $15.87 | |
| D0230 | 3,218 | 976 | $0.00 | |
| D9230 | 1,185 | 1,096 | $-99.44 |