NPI: 1508947946 · SAN LUIS, AZ 85349 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,127 | $9K |
| 2019 | 125 | $21K |
| 2020 | 198 | $0.00 |
| 2021 | 110 | $2K |
| 2022 | 114 | $0.00 |
| 2023 | 1,710 | $0.00 |
| 2024 | 1,244 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,439 | 2,035 | $32K |
| D0120 | 997 | 690 | $0.00 | |
| D1208 | 624 | 301 | $0.00 | |
| D1206 | 878 | 710 | $0.00 | |
| D2392 | 92 | 40 | $0.00 | |
| D0140 | 360 | 186 | $0.00 | |
| D0230 | 260 | 242 | $0.00 | |
| D0240 | 45 | 27 | $0.00 | |
| D0150 | 271 | 138 | $0.00 | |
| D0272 | 208 | 132 | $0.00 | |
| D1351 | 477 | 60 | $0.00 | |
| D0210 | 51 | 28 | $0.00 | |
| D1354 | 119 | 32 | $0.00 | |
| D0270 | 130 | 66 | $0.00 | |
| D0220 | 665 | 500 | $0.00 | |
| D1120 | 1,014 | 657 | $0.00 | |
| D0274 | 322 | 177 | $0.00 | |
| D1110 | 258 | 141 | $0.00 | |
| D1999 | 296 | 229 | $0.00 | |
| D2391 | 104 | 42 | $0.00 | |
| D4910 | 18 | 18 | $0.00 |