NPI: 1558642496 · NEVADA, MO 64772 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,704 | $142K |
| 2019 | 177 | $3K |
| 2020 | 25 | $0.00 |
| 2023 | 73 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 913 | 867 | $23K | |
| D0120 | 990 | 941 | $19K | |
| D1206 | 1,209 | 1,159 | $18K | |
| D1351 | 627 | 121 | $13K | |
| D2392 | 159 | 104 | $11K | |
| D0272 | 532 | 499 | $9K | |
| D2391 | 131 | 99 | $8K | |
| D1110 | 211 | 200 | $7K | |
| D0274 | 271 | 260 | $7K | |
| D0230 | 724 | 270 | $7K | |
| D0330 | 225 | 212 | $7K | |
| D9230 | 301 | 277 | $5K | |
| D0150 | 198 | 188 | $5K | |
| D0220 | 423 | 393 | $4K | |
| D7140 | 28 | 15 | $2K | |
| D0140 | 37 | 34 | $909.85 |