NPI: 1538248091 · COPPELL, TX 75019 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 307 | $5K |
| 2021 | 3,058 | $45K |
| 2022 | 3,073 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 380 | 378 | $27K | |
| 99214 | 486 | 437 | $23K | |
| 99213 | 487 | 451 | $16K | |
| 90460 | 1,435 | 522 | $11K | |
| 99391 | 95 | 93 | $7K | |
| 87635 | 95 | 92 | $4K | |
| 96110 | 409 | 307 | $3K | |
| 90461 | 368 | 312 | $2K | |
| S8301 | Infect control supplies nos | 1,765 | 1,431 | $2K |
| 99000 | 99 | 96 | $916.51 | |
| 83655 | 14 | 14 | $146.90 | |
| 90471 | 19 | 19 | $141.12 | |
| 96160 | 380 | 369 | $28.96 | |
| 90686 | 162 | 155 | $0.00 | |
| 99174 | 69 | 67 | $0.00 | |
| 90680 | 25 | 24 | $0.00 | |
| 36416 | 27 | 24 | $0.00 | |
| 90698 | 25 | 24 | $0.00 | |
| 90670 | 83 | 81 | $0.00 | |
| 90633 | 15 | 14 | $0.00 |