NPI: 1497168975 · PROVO, UT 84604 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,315 | $53K |
| 2019 | 1,032 | $19K |
| 2020 | 1,752 | $35K |
| 2021 | 1,275 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 616 | 605 | $83K | |
| D2150 | 199 | 76 | $12K | |
| D0140 | 134 | 132 | $10K | |
| D0150 | 71 | 65 | $10K | |
| D0220 | 1,386 | 1,301 | $5K | |
| D0274 | 461 | 448 | $3K | |
| D1110 | 122 | 119 | $2K | |
| D1351 | 154 | 32 | $1K | |
| D1206 | 465 | 455 | $973.68 | |
| D2160 | 31 | 13 | $963.77 | |
| D1120 | 385 | 379 | $677.42 | |
| D0230 | 2,283 | 886 | $195.54 | |
| D0210 | 50 | 48 | $125.10 | |
| D2950 | 17 | 12 | $0.00 |