NPI: 1457927899 · GRAND PRAIRIE, TX 75050 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,418 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 648 | 49 | $26K | |
| 83540 | 43 | 37 | $0.00 | |
| 84100 | 36 | 24 | $0.00 | |
| 82565 | 39 | 38 | $0.00 | |
| 82310 | 66 | 50 | $0.00 | |
| 84466 | 13 | 12 | $0.00 | |
| 83970 | 13 | 13 | $0.00 | |
| 84155 | 12 | 12 | $0.00 | |
| A4657 | Syringe w/wo needle | 268 | 51 | $0.00 |
| 84075 | 51 | 50 | $0.00 | |
| 85018 | 97 | 50 | $0.00 | |
| 80051 | 52 | 51 | $0.00 | |
| 82728 | 13 | 13 | $0.00 | |
| 82040 | 67 | 50 | $0.00 |