NPI: 1609003466 · TWIN FALLS, ID 83301 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 990 | $20K |
| 2019 | 861 | $18K |
| 2020 | 1,322 | $27K |
| 2021 | 751 | $16K |
| 2022 | 29 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 798 | 796 | $57K | |
| D1120 | 140 | 140 | $10K | |
| D0330 | 53 | 53 | $4K | |
| D0150 | 254 | 254 | $2K | |
| D2150 | 100 | 36 | $2K | |
| D7140 | 96 | 30 | $2K | |
| D2392 | 24 | 12 | $1K | |
| D2160 | 28 | 13 | $1K | |
| D7210 | 38 | 14 | $921.30 | |
| D0140 | 73 | 72 | $753.75 | |
| D0274 | 600 | 598 | $398.82 | |
| D0120 | 641 | 641 | $164.97 | |
| D1351 | 51 | 13 | $90.32 | |
| D0272 | 94 | 94 | $0.00 | |
| D0230 | 23 | 12 | $0.00 | |
| D0220 | 158 | 153 | $0.00 | |
| D1208 | 782 | 780 | $-503.98 |