NPI: 1518928928 · SIERRA VISTA, AZ 85635 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,385 | $404.43 |
| 2024 | 673 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 130 | 126 | $142.68 | |
| D0330 | 95 | 93 | $108.32 | |
| D1208 | 245 | 239 | $54.93 | |
| D0150 | 33 | 33 | $40.49 | |
| D0274 | 128 | 123 | $29.99 | |
| D0230 | 82 | 57 | $15.00 | |
| D0220 | 261 | 240 | $13.02 | |
| D2391 | 91 | 39 | $0.00 | |
| D1120 | 213 | 208 | $0.00 | |
| D9230 | 14 | 12 | $0.00 | |
| D0140 | 196 | 181 | $0.00 | |
| D0120 | 348 | 335 | $0.00 | |
| D1206 | 67 | 66 | $0.00 | |
| D2392 | 68 | 33 | $0.00 | |
| D7140 | 69 | 28 | $0.00 | |
| D0210 | 18 | 18 | $0.00 |