NPI: 1508826272 · SOUTH OGDEN, UT 84403 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,447 | $76K |
| 2019 | 5,644 | $158K |
| 2020 | 6,359 | $184K |
| 2021 | 3,410 | $110K |
| 2022 | 12 | $639.60 |
| 2023 | 2,231 | $59K |
| 2024 | 2,098 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,916 | 3,887 | $317K | |
| D1120 | 3,945 | 3,918 | $88K | |
| D0220 | 2,654 | 2,625 | $54K | |
| D1351 | 2,329 | 454 | $54K | |
| D2150 | 585 | 299 | $44K | |
| D1206 | 4,175 | 4,144 | $29K | |
| D0150 | 195 | 194 | $21K | |
| D0272 | 1,791 | 1,779 | $13K | |
| D0230 | 2,469 | 2,404 | $8K | |
| D0274 | 605 | 593 | $5K | |
| D2140 | 111 | 72 | $5K | |
| D0330 | 341 | 335 | $3K | |
| D2392 | 39 | 25 | $3K | |
| D1110 | 46 | 45 | $413.98 |