NPI: 1619315454 · OREM, UT 84097 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 671 | $22K |
| 2019 | 1,257 | $61K |
| 2020 | 657 | $44K |
| 2021 | 109 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 501 | 500 | $59K | |
| D0272 | 380 | 379 | $19K | |
| D0220 | 240 | 226 | $18K | |
| D2160 | 208 | 100 | $12K | |
| D2150 | 185 | 105 | $11K | |
| D1120 | 483 | 482 | $3K | |
| D9420 | 15 | 14 | $2K | |
| D0150 | 15 | 15 | $2K | |
| D0274 | 133 | 132 | $2K | |
| D2161 | 20 | 12 | $1K | |
| D0330 | 26 | 26 | $528.49 | |
| D0230 | 19 | 14 | $256.15 | |
| D1206 | 457 | 456 | $62.92 | |
| D1110 | 12 | 12 | $0.00 |