NPI: 1619021425 · PRESCOTT VALLEY, AZ 86314 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,462 | $7K |
| 2019 | 3,270 | $36K |
| 2020 | 646 | $10K |
| 2021 | 576 | $4K |
| 2022 | 937 | $11K |
| 2023 | 285 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 630 | 327 | $15K | |
| D1110 | 1,100 | 1,032 | $12K | |
| D0120 | 1,356 | 1,279 | $9K | |
| D1120 | 660 | 630 | $8K | |
| D0150 | 410 | 386 | $6K | |
| D1208 | 978 | 948 | $5K | |
| D0274 | 621 | 599 | $4K | |
| D0210 | 210 | 197 | $4K | |
| D0220 | 1,045 | 977 | $4K | |
| D2391 | 143 | 74 | $2K | |
| D0230 | 650 | 505 | $1K | |
| D2393 | 61 | 40 | $1K | |
| D0140 | 30 | 29 | $378.84 | |
| D1206 | 142 | 133 | $329.87 | |
| D0272 | 64 | 59 | $310.92 | |
| D0602 | 62 | 58 | $0.00 | |
| D0601 | 14 | 14 | $0.00 |