NPI: 1609893080 · MONTICELLO, AR 71655 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $242.10 |
| 2020 | 14 | $0.00 |
| 2021 | 806 | $328.18 |
| 2022 | 223 | $520.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0072A | 22 | 13 | $400.00 | |
| 0011A | 217 | 217 | $287.98 | |
| 90686 | 15 | 15 | $242.10 | |
| 0071A | 34 | 30 | $120.00 | |
| 0064A | 117 | 116 | $40.00 | |
| 91301 | 237 | 230 | $0.24 | |
| 91307 | 77 | 54 | $0.20 | |
| 91300 | 14 | 13 | $0.01 | |
| 0012A | 215 | 215 | $0.00 | |
| K1034 | Covid test self-admn/collect | 67 | 66 | $0.00 |
| G0008 | Admin influenza virus vac | 56 | 56 | $0.00 |