NPI: 1528694247 · PEORIA, AZ 85383 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,522 | $21K |
| 2023 | 1,616 | $16K |
| 2024 | 2,629 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,156 | 1,124 | $18K | |
| D1206 | 1,358 | 1,319 | $11K | |
| D0120 | 763 | 740 | $8K | |
| D0150 | 436 | 431 | $7K | |
| D0272 | 563 | 546 | $5K | |
| D0220 | 853 | 825 | $4K | |
| D0230 | 772 | 730 | $3K | |
| D0330 | 176 | 174 | $2K | |
| D1351 | 82 | 26 | $882.09 | |
| D2391 | 36 | 25 | $792.83 | |
| D1110 | 29 | 29 | $437.57 | |
| D9230 | 63 | 58 | $401.33 | |
| D0274 | 28 | 28 | $126.00 | |
| D1330 | 452 | 426 | $0.00 |