NPI: 1568657658 · COPPELL, TX 75019 · 173000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 285 | $5K |
| 2021 | 2,634 | $39K |
| 2022 | 1,714 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | 298 | 286 | $19K | |
| 99214 | 366 | 332 | $16K | |
| 99213 | 421 | 383 | $14K | |
| 90460 | 1,147 | 405 | $8K | |
| 99391 | 83 | 75 | $5K | |
| S8301 | Infect control supplies nos | 1,313 | 1,100 | $3K |
| 96110 | 287 | 199 | $2K | |
| 90461 | 231 | 189 | $1K | |
| 87635 | 21 | 21 | $1K | |
| 99000 | 34 | 32 | $321.59 | |
| 99212 | 13 | 13 | $319.02 | |
| 96160 | 225 | 219 | $35.99 | |
| 90686 | 137 | 127 | $18.46 | |
| 99174 | 14 | 14 | $7.00 | |
| 90670 | 43 | 41 | $0.00 |