NPI: 1629482070 · COEUR D ALENE, ID 83814 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,124 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 388 | 380 | $18K | |
| D1110 | 186 | 182 | $16K | |
| D2392 | 75 | 49 | $16K | |
| D2391 | 94 | 69 | $15K | |
| D0120 | 299 | 295 | $14K | |
| D1120 | 213 | 210 | $13K | |
| D0330 | 99 | 96 | $11K | |
| D0150 | 122 | 120 | $10K | |
| D0274 | 163 | 160 | $10K | |
| D1351 | 185 | 64 | $9K | |
| D0272 | 156 | 156 | $7K | |
| D0220 | 97 | 93 | $3K | |
| D7140 | 16 | 12 | $3K | |
| D0140 | 12 | 12 | $948.00 | |
| D0230 | 19 | 15 | $620.00 |