NPI: 1457381097 · WEST DES MOINES, IA 50265 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 706 | $13K |
| 2022 | 199 | $3K |
| 2023 | 84 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 121 | 121 | $4K | |
| 0001A | 120 | 120 | $4K | |
| 0004A | 84 | 83 | $3K | |
| 0012A | 34 | 34 | $1K | |
| 0011A | 30 | 30 | $1K | |
| 90686 | 59 | 59 | $888.45 | |
| 0071A | 17 | 17 | $680.00 | |
| 90480 | 12 | 12 | $480.00 | |
| 0072A | 12 | 12 | $480.00 | |
| 0124A | 12 | 12 | $400.00 | |
| 90471 | 61 | 61 | $300.31 | |
| 91301 | 68 | 68 | $0.00 | |
| 91307 | 50 | 43 | $0.00 | |
| 91300 | 309 | 297 | $0.00 |