NPI: 1578945168 · SPRINGFIELD, MO 65806 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38 | $1K |
| 2019 | 9,281 | $388K |
| 2020 | 3,994 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 810 | 518 | $88K | |
| D0120 | 1,767 | 1,766 | $57K | |
| D2391 | 636 | 439 | $54K | |
| D2393 | 283 | 208 | $47K | |
| D1120 | 1,405 | 1,405 | $47K | |
| D1206 | 2,063 | 2,062 | $46K | |
| D0274 | 1,221 | 1,220 | $42K | |
| D1110 | 895 | 894 | $42K | |
| D0330 | 573 | 573 | $34K | |
| D0230 | 1,145 | 745 | $30K | |
| D0272 | 814 | 814 | $23K | |
| D0150 | 514 | 514 | $22K | |
| D0220 | 956 | 948 | $16K | |
| D0140 | 156 | 155 | $7K | |
| D0210 | 62 | 17 | $732.00 | |
| D9230 | 13 | 13 | $410.68 |