NPI: 1598296519 · SIOUX CITY, IA 51106 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,192 | $90K |
| 2019 | 759 | $21K |
| 2021 | 590 | $10K |
| 2022 | 390 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 581 | 574 | $21K | |
| D1206 | 1,055 | 1,038 | $18K | |
| D2392 | 250 | 182 | $17K | |
| D0120 | 771 | 759 | $14K | |
| D4341 | 352 | 81 | $11K | |
| D2391 | 208 | 138 | $10K | |
| D0274 | 443 | 433 | $9K | |
| D0150 | 300 | 290 | $6K | |
| D4910 | 135 | 133 | $6K | |
| D2393 | 48 | 37 | $3K | |
| D1120 | 102 | 102 | $3K | |
| D1999 | 263 | 189 | $2K | |
| D0220 | 227 | 222 | $2K | |
| D2331 | 21 | 12 | $1K | |
| D0330 | 43 | 43 | $1K | |
| D0140 | 53 | 50 | $1K | |
| D0210 | 16 | 16 | $715.82 | |
| D0230 | 63 | 40 | $309.96 |