NPI: 1518478742 · SALT LAKE CITY, UT 84108 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 55 | $751.18 |
| 2020 | 129 | $3K |
| 2021 | 1,507 | $54K |
| 2022 | 2,145 | $90K |
| 2023 | 1,753 | $56K |
| 2024 | 1,443 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,492 | 1,472 | $89K | |
| D1120 | 1,500 | 1,472 | $38K | |
| D2930 | 278 | 63 | $37K | |
| D1351 | 748 | 103 | $26K | |
| D1206 | 1,824 | 1,803 | $23K | |
| D2392 | 108 | 56 | $12K | |
| D0272 | 505 | 496 | $6K | |
| D0230 | 35 | 25 | $5K | |
| D2391 | 57 | 34 | $4K | |
| D2150 | 131 | 54 | $4K | |
| D0150 | 40 | 40 | $3K | |
| D2140 | 25 | 13 | $3K | |
| D7140 | 24 | 13 | $3K | |
| D3220 | 37 | 12 | $2K | |
| D0220 | 124 | 116 | $2K | |
| D0140 | 12 | 12 | $553.11 | |
| D0274 | 40 | 37 | $471.36 | |
| D9420 | 52 | 52 | $445.03 |