NPI: 1487384574 · SURPRISE, AZ 85374 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,940 | $3K |
| 2024 | 2,085 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | 806 | 791 | $477.90 | |
| D1110 | 363 | 362 | $471.00 | |
| D0220 | 1,199 | 1,129 | $265.42 | |
| D0120 | 462 | 459 | $241.34 | |
| D0230 | 1,025 | 983 | $214.61 | |
| D1120 | 423 | 422 | $207.78 | |
| D1206 | 356 | 353 | $165.11 | |
| D0330 | 501 | 493 | $154.73 | |
| D0150 | 306 | 305 | $150.10 | |
| D1208 | 287 | 287 | $120.08 | |
| D0140 | 241 | 234 | $115.48 | |
| D2392 | 56 | 39 | $0.00 |