NPI: 1568418085 · GRAND PRAIRIE, TX 75050 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,549 | $10K |
| 2022 | 641 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 440 | 62 | $28K | |
| 80051 | 188 | 184 | $1K | |
| 85018 | 377 | 179 | $0.00 | |
| 87340 | 210 | 204 | $0.00 | |
| 84075 | 208 | 205 | $0.00 | |
| 82040 | 266 | 190 | $0.00 | |
| 82728 | 57 | 56 | $0.00 | |
| A4657 | Syringe w/wo needle | 1,157 | 184 | $0.00 |
| 85025 | 12 | 12 | $0.00 | |
| 82607 | 16 | 16 | $0.00 | |
| 82306 | 31 | 31 | $0.00 | |
| 83735 | 13 | 13 | $0.00 | |
| 82746 | 14 | 14 | $0.00 | |
| 82310 | 281 | 203 | $0.00 | |
| 84155 | 69 | 69 | $0.00 | |
| 84100 | 201 | 131 | $0.00 | |
| 82565 | 200 | 196 | $0.00 | |
| 84520 | 133 | 65 | $0.00 | |
| 83970 | 41 | 41 | $0.00 | |
| 84466 | 68 | 65 | $0.00 | |
| 82108 | 33 | 32 | $0.00 | |
| 83540 | 175 | 165 | $0.00 |