NPI: 1528343100 · REDMOND, OR 97756 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,100 | $2K |
| 2019 | 109 | $3K |
| 2020 | 54 | $872.00 |
| 2021 | 47 | $975.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 442 | 306 | $3K | |
| D1208 | 397 | 258 | $2K | |
| D1120 | 284 | 168 | $680.00 | |
| D1110 | 207 | 118 | $188.00 | |
| D0150 | 277 | 154 | $152.00 | |
| D0272 | 130 | 75 | $120.00 | |
| D0220 | 538 | 297 | $104.00 | |
| D0274 | 158 | 89 | $87.00 | |
| D0230 | 575 | 180 | $63.00 | |
| D0210 | 129 | 68 | $58.00 | |
| D0140 | 290 | 156 | $35.00 | |
| D0170 | 144 | 80 | $28.00 | |
| D1354 | 788 | 86 | $28.00 | |
| D0603 | 171 | 92 | $0.00 | |
| D0602 | 52 | 28 | $0.00 | |
| D0601 | 147 | 80 | $0.00 | |
| D1330 | 565 | 317 | $0.00 | |
| D1999 | 16 | 15 | $0.00 |