NPI: 1558658112 · DRAPER, UT 84020 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,004 | $81K |
| 2021 | 5,363 | $141K |
| 2023 | 12,090 | $329K |
| 2024 | 11,258 | $308K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,905 | 4,903 | $241K | |
| D1120 | 4,683 | 4,681 | $147K | |
| D1351 | 4,232 | 923 | $111K | |
| D1206 | 4,762 | 4,762 | $67K | |
| D0220 | 4,052 | 4,029 | $59K | |
| D2392 | 495 | 312 | $40K | |
| D0272 | 1,940 | 1,939 | $35K | |
| D0230 | 3,849 | 3,749 | $34K | |
| D0330 | 604 | 604 | $31K | |
| D0274 | 1,066 | 1,066 | $30K | |
| D0150 | 286 | 286 | $17K | |
| D2150 | 216 | 136 | $15K | |
| D1110 | 269 | 269 | $12K | |
| D2391 | 133 | 103 | $9K | |
| D7140 | 59 | 40 | $4K | |
| D2140 | 55 | 40 | $3K | |
| D0140 | 93 | 92 | $3K | |
| D9230 | 16 | 14 | $0.00 |