NPI: 1629274378 · GRAND PRAIRIE, TX 75051 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 662 | $12K |
| 2021 | 5,196 | $103K |
| 2022 | 5,371 | $103K |
| 2023 | 4,464 | $89K |
| 2024 | 2,885 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 2,585 | 572 | $68K | |
| D0120 | 1,941 | 1,929 | $54K | |
| D1120 | 1,245 | 1,239 | $44K | |
| D1110 | 801 | 794 | $39K | |
| D0230 | 3,913 | 1,834 | $39K | |
| D0274 | 1,065 | 1,057 | $33K | |
| D1208 | 2,073 | 2,059 | $30K | |
| D0220 | 2,041 | 2,003 | $23K | |
| D2392 | 112 | 57 | $10K | |
| D0330 | 223 | 221 | $5K | |
| D0272 | 199 | 199 | $4K | |
| D0145 | 25 | 25 | $3K | |
| D0210 | 28 | 28 | $2K | |
| D0150 | 13 | 13 | $459.16 | |
| D0602 | 2,132 | 2,110 | $0.00 | |
| D0603 | 182 | 182 | $0.00 |