NPI: 1629454426 · KENAI, AK 99611 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $840.00 |
| 2019 | 1,787 | $4K |
| 2020 | 1,080 | $3K |
| 2021 | 1,920 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 778 | 778 | $4K | |
| D0210 | 464 | 463 | $3K | |
| D0140 | 557 | 549 | $2K | |
| D0220 | 619 | 587 | $767.00 | |
| D1206 | 280 | 280 | $589.00 | |
| D1120 | 163 | 162 | $495.00 | |
| D0270 | 186 | 181 | $220.00 | |
| D0120 | 75 | 75 | $196.00 | |
| D0274 | 59 | 59 | $174.00 | |
| D0603 | 92 | 92 | $154.00 | |
| D0230 | 151 | 111 | $135.00 | |
| D2391 | 67 | 49 | $112.00 | |
| D2392 | 61 | 52 | $71.00 | |
| D0602 | 30 | 29 | $66.00 | |
| D0330 | 67 | 67 | $52.00 | |
| D0272 | 12 | 12 | $20.00 | |
| D9995 | 113 | 113 | $20.00 | |
| D1110 | 12 | 12 | $0.00 | |
| D1330 | 586 | 584 | $0.00 | |
| D1310 | 555 | 555 | $0.00 |