NPI: 1588937403 · OREM, UT 84057 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,703 | $118K |
| 2019 | 1,903 | $56K |
| 2020 | 1,780 | $65K |
| 2021 | 3,832 | $119K |
| 2022 | 1,307 | $65K |
| 2023 | 1,329 | $39K |
| 2024 | 524 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,930 | 2,907 | $347K | |
| D0220 | 1,974 | 1,910 | $35K | |
| D0140 | 429 | 409 | $17K | |
| D0150 | 108 | 106 | $12K | |
| D1110 | 415 | 411 | $10K | |
| D0274 | 1,022 | 1,011 | $8K | |
| D1351 | 253 | 46 | $7K | |
| D2140 | 242 | 154 | $6K | |
| D1120 | 2,324 | 2,303 | $6K | |
| D2150 | 190 | 127 | $6K | |
| D1206 | 2,762 | 2,741 | $5K | |
| D0230 | 1,601 | 1,300 | $4K | |
| D2392 | 47 | 24 | $3K | |
| D2950 | 28 | 12 | $3K | |
| D0272 | 810 | 799 | $3K | |
| D7140 | 62 | 39 | $2K | |
| D2391 | 21 | 12 | $1K | |
| D0330 | 13 | 12 | $311.03 | |
| D0210 | 54 | 54 | $279.44 | |
| D1208 | 93 | 92 | $212.47 |