NPI: 1649575465 · EVANSTON, WY 82930 · 1223S0112X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,824 | $87K |
| 2019 | 2,527 | $68K |
| 2020 | 2,166 | $55K |
| 2021 | 3,022 | $99K |
| 2022 | 3,329 | $101K |
| 2023 | 4,002 | $136K |
| 2024 | 3,090 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 4,389 | 4,364 | $124K | |
| D0120 | 3,952 | 3,929 | $123K | |
| D2392 | 1,161 | 581 | $106K | |
| D1120 | 1,928 | 1,920 | $65K | |
| D0274 | 1,776 | 1,772 | $57K | |
| D2391 | 628 | 366 | $47K | |
| D0230 | 2,686 | 1,219 | $37K | |
| D0220 | 2,481 | 2,423 | $37K | |
| D1110 | 742 | 732 | $34K | |
| D9420 | 67 | 67 | $10K | |
| D9230 | 358 | 340 | $9K | |
| D0140 | 97 | 93 | $4K | |
| D7140 | 43 | 24 | $3K | |
| D1351 | 120 | 40 | $2K | |
| D4346 | 12 | 12 | $990.00 | |
| D0150 | 29 | 28 | $912.95 | |
| D0330 | 12 | 12 | $526.50 | |
| D1999 | 420 | 369 | $28.00 | |
| D0603 | 59 | 59 | $0.00 |