NPI: 1578094702 · WEST VALLEY CITY, UT 84120 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 82 | $222.57 |
| 2021 | 589 | $29K |
| 2022 | 2,719 | $107K |
| 2023 | 1,477 | $28K |
| 2024 | 716 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | 1,330 | 1,243 | $47K | |
| D0140 | 372 | 358 | $40K | |
| D0150 | 136 | 134 | $25K | |
| D0120 | 261 | 256 | $25K | |
| D0274 | 619 | 610 | $12K | |
| D0230 | 1,912 | 757 | $8K | |
| D7210 | 157 | 43 | $7K | |
| D0270 | 25 | 25 | $6K | |
| D1206 | 314 | 312 | $3K | |
| D2150 | 39 | 20 | $2K | |
| D1110 | 138 | 135 | $2K | |
| D0330 | 96 | 95 | $139.17 | |
| D1120 | 64 | 63 | $56.67 | |
| D9211 | 107 | 65 | $0.00 | |
| D2950 | 13 | 12 | $0.00 |