NPI: 1558709527 · TWIN FALLS, ID 83301 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,059 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 109 | 109 | $8K | |
| D1110 | 45 | 45 | $4K | |
| D0330 | 23 | 23 | $3K | |
| D2392 | 23 | 16 | $1K | |
| D2391 | 13 | 12 | $903.30 | |
| D0145 | 14 | 14 | $661.97 | |
| D1351 | 184 | 52 | $499.92 | |
| D0150 | 13 | 13 | $344.26 | |
| D0120 | 147 | 147 | $116.78 | |
| D0220 | 142 | 142 | $18.44 | |
| D0274 | 31 | 31 | $0.00 | |
| D9230 | 33 | 32 | $0.00 | |
| D0272 | 106 | 106 | $0.00 | |
| D1208 | 176 | 176 | $0.00 |