NPI: 1457794315 · PROVIDENCE, UT 84332 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 585 | $13K |
| 2019 | 5,212 | $165K |
| 2020 | 7,177 | $235K |
| 2021 | 9,524 | $290K |
| 2022 | 9,735 | $311K |
| 2023 | 7,438 | $183K |
| 2024 | 6,181 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,802 | 4,768 | $252K | |
| D0220 | 5,459 | 5,359 | $226K | |
| D0272 | 3,658 | 3,606 | $156K | |
| D1351 | 7,793 | 1,451 | $152K | |
| D1120 | 5,920 | 5,866 | $120K | |
| D0150 | 1,221 | 1,206 | $80K | |
| D1206 | 6,074 | 5,993 | $78K | |
| D0274 | 1,121 | 1,108 | $58K | |
| D0230 | 6,346 | 5,186 | $51K | |
| D0330 | 849 | 845 | $51K | |
| D2150 | 1,084 | 445 | $47K | |
| D2392 | 419 | 174 | $28K | |
| D9420 | 92 | 92 | $25K | |
| D2140 | 527 | 259 | $22K | |
| D2391 | 110 | 50 | $4K | |
| D7140 | 165 | 80 | $4K | |
| D0140 | 41 | 41 | $2K | |
| D1110 | 27 | 25 | $875.23 | |
| D1208 | 144 | 144 | $19.00 |