NPI: 1619278785 · SANDY, UT 84070 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,350 | $78K |
| 2019 | 1,018 | $35K |
| 2020 | 845 | $30K |
| 2021 | 1,064 | $37K |
| 2022 | 2,274 | $74K |
| 2023 | 1,256 | $35K |
| 2024 | 767 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,449 | 2,423 | $230K | |
| D1120 | 2,341 | 2,313 | $21K | |
| D0272 | 1,897 | 1,874 | $16K | |
| D0150 | 162 | 162 | $14K | |
| D1206 | 2,762 | 2,728 | $14K | |
| D1351 | 219 | 41 | $9K | |
| D2392 | 19 | 12 | $3K | |
| D2150 | 157 | 76 | $2K | |
| D0220 | 212 | 194 | $1K | |
| D0274 | 79 | 79 | $471.37 | |
| D0330 | 91 | 90 | $275.17 | |
| D0230 | 96 | 87 | $232.55 | |
| D9230 | 25 | 24 | $49.48 | |
| D1110 | 25 | 24 | $0.00 | |
| D1208 | 40 | 40 | $0.00 |