NPI: 1497393003 · TRINIDAD, CO 81082 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 192 | $42K |
| 2021 | 29 | $7K |
| 2022 | 1,488 | $116K |
| 2023 | 36 | $10K |
| 2024 | 1,060 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 1,234 | 1,060 | $351K | |
| D1351 | 466 | 131 | $3K | |
| D0150 | 104 | 104 | $264.25 | |
| D1120 | 28 | 28 | $160.00 | |
| D0272 | 13 | 13 | $114.00 | |
| D0140 | 74 | 72 | $110.00 | |
| D0120 | 37 | 37 | $64.00 | |
| D0220 | 102 | 101 | $52.00 | |
| D1206 | 360 | 359 | $19.00 | |
| D1353 | 56 | 34 | $0.00 | |
| D7140 | 53 | 37 | $0.00 | |
| D2391 | 13 | 12 | $0.00 | |
| D0190 | 210 | 210 | $0.00 | |
| D1110 | 43 | 43 | $0.00 | |
| D0270 | 12 | 12 | $0.00 |