NPI: 1528293255 · MERIDIAN, ID 83646 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,203 | $67K |
| 2020 | 3,310 | $134K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 663 | 661 | $64K | |
| D2392 | 791 | 412 | $46K | |
| D2393 | 219 | 155 | $39K | |
| D7210 | 128 | 54 | $18K | |
| D2391 | 434 | 243 | $9K | |
| D0150 | 762 | 760 | $9K | |
| D4341 | 105 | 37 | $8K | |
| D0140 | 132 | 131 | $3K | |
| D0210 | 17 | 16 | $2K | |
| D7140 | 51 | 12 | $1K | |
| D0330 | 53 | 53 | $1K | |
| D2331 | 20 | 14 | $643.18 | |
| D1120 | 13 | 13 | $158.78 | |
| D0274 | 655 | 653 | $77.32 | |
| D2330 | 14 | 12 | $66.56 | |
| D0120 | 40 | 40 | $19.24 | |
| D0220 | 774 | 751 | $9.22 | |
| D0230 | 630 | 622 | $0.00 | |
| D1208 | 12 | 12 | $0.00 |