NPI: 1609096064 · FORT WORTH, TX 76132 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 552 | $16K |
| 2021 | 4,892 | $125K |
| 2022 | 4,743 | $119K |
| 2023 | 3,834 | $130K |
| 2024 | 3,298 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,570 | 479 | $151K | |
| D0145 | 350 | 350 | $49K | |
| D0230 | 4,389 | 1,426 | $47K | |
| D2391 | 629 | 186 | $46K | |
| D0120 | 1,489 | 1,474 | $42K | |
| D1120 | 877 | 864 | $31K | |
| D1110 | 529 | 525 | $27K | |
| D1208 | 1,892 | 1,868 | $27K | |
| D0220 | 1,572 | 1,548 | $19K | |
| D0274 | 385 | 382 | $13K | |
| D9230 | 420 | 408 | $11K | |
| D2330 | 97 | 40 | $7K | |
| D0272 | 247 | 247 | $5K | |
| D0210 | 31 | 31 | $2K | |
| D0150 | 48 | 44 | $1K | |
| D0603 | 2,794 | 2,743 | $0.00 |