NPI: 1619369972 · PRINEVILLE, OR 97754 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,370 | $0.00 |
| 2020 | 1,433 | $96.00 |
| 2021 | 208 | $0.00 |
| 2023 | 148 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 160 | 148 | $67.00 | |
| D0220 | 447 | 408 | $29.00 | |
| D1120 | 24 | 12 | $0.00 | |
| D1110 | 64 | 63 | $0.00 | |
| D0274 | 265 | 261 | $0.00 | |
| D0330 | 46 | 45 | $0.00 | |
| D1354 | 1,035 | 220 | $0.00 | |
| D2150 | 16 | 14 | $0.00 | |
| D1310 | 188 | 180 | $0.00 | |
| D0230 | 130 | 96 | $0.00 | |
| D1330 | 613 | 593 | $0.00 | |
| D0603 | 263 | 248 | $0.00 | |
| D0120 | 380 | 356 | $0.00 | |
| D1206 | 352 | 328 | $0.00 | |
| D0601 | 51 | 48 | $0.00 | |
| D0150 | 57 | 54 | $0.00 | |
| D1208 | 36 | 18 | $0.00 | |
| D0272 | 32 | 16 | $0.00 |