NPI: 1598325011 · SEDALIA, MO 65301 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,255 | $29K |
| 2020 | 1,323 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | 134 | 134 | $9K | |
| D2392 | 111 | 81 | $8K | |
| D1206 | 371 | 371 | $6K | |
| D1351 | 340 | 100 | $6K | |
| D1120 | 255 | 255 | $6K | |
| D0120 | 303 | 303 | $6K | |
| D0140 | 124 | 123 | $4K | |
| D0272 | 230 | 230 | $4K | |
| D1110 | 116 | 116 | $4K | |
| D2391 | 58 | 48 | $3K | |
| D0230 | 98 | 97 | $3K | |
| D0274 | 119 | 119 | $2K | |
| D0220 | 200 | 194 | $2K | |
| D0150 | 57 | 57 | $1K | |
| D9996 | 21 | 21 | $820.00 | |
| D7140 | 12 | 12 | $636.00 | |
| D9230 | 16 | 15 | $457.00 | |
| D0240 | 13 | 13 | $97.00 |