NPI: 1497148860 · SANDPOINT, ID 83864 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,072 | $15K |
| 2019 | 754 | $10K |
| 2020 | 1,412 | $45K |
| 2021 | 251 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | 303 | 302 | $27K | |
| D1110 | 332 | 331 | $20K | |
| D2392 | 235 | 143 | $11K | |
| D0150 | 448 | 447 | $6K | |
| D1120 | 149 | 149 | $6K | |
| D2393 | 26 | 17 | $4K | |
| D7210 | 56 | 12 | $2K | |
| D2391 | 73 | 41 | $883.56 | |
| D0274 | 73 | 73 | $814.53 | |
| D0140 | 25 | 25 | $563.48 | |
| D0120 | 323 | 323 | $166.47 | |
| D1351 | 88 | 14 | $104.15 | |
| D0330 | 58 | 58 | $103.96 | |
| D1206 | 259 | 259 | $40.65 | |
| D0220 | 512 | 505 | $9.22 | |
| D0230 | 464 | 319 | $0.00 | |
| D1208 | 40 | 40 | $0.00 | |
| D0272 | 25 | 25 | $0.00 |