NPI: 1578944807 · PONTOTOC, MS 38863 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,421 | $144K |
| 2019 | 494 | $16K |
| 2020 | 143 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 477 | 217 | $45K | |
| D0150 | 727 | 705 | $28K | |
| D1120 | 759 | 737 | $21K | |
| D2391 | 174 | 104 | $13K | |
| D1206 | 605 | 577 | $12K | |
| D1351 | 400 | 66 | $10K | |
| D0210 | 159 | 152 | $10K | |
| D2393 | 57 | 29 | $5K | |
| D7140 | 75 | 40 | $5K | |
| D0140 | 132 | 118 | $5K | |
| D0274 | 126 | 120 | $3K | |
| D0350 | 62 | 60 | $1K | |
| D0330 | 61 | 59 | $1K | |
| D0220 | 109 | 101 | $1K | |
| D9230 | 57 | 30 | $1K | |
| D1208 | 16 | 14 | $66.80 | |
| D1330 | 62 | 61 | $0.00 |