NPI: 1497846752 · ALICE, TX 78332 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,227 | $45K |
| 2024 | 1,356 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | 1,159 | 358 | $11K | |
| D1120 | 248 | 245 | $9K | |
| D0120 | 262 | 260 | $7K | |
| D1351 | 266 | 44 | $7K | |
| D2392 | 75 | 26 | $7K | |
| D0145 | 39 | 39 | $6K | |
| D1208 | 358 | 355 | $5K | |
| D0220 | 387 | 372 | $5K | |
| D0274 | 121 | 121 | $4K | |
| D1110 | 60 | 60 | $3K | |
| D0150 | 53 | 52 | $2K | |
| D0350 | 34 | 33 | $588.16 | |
| D0272 | 16 | 15 | $350.70 | |
| D0330 | 15 | 15 | $85.83 | |
| D0603 | 490 | 487 | $0.00 |