NPI: 1659485407 · ST. LOUIS, MO 63112 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,014 | $124K |
| 2019 | 2,693 | $131K |
| 2020 | 333 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,237 | 1,184 | $57K | |
| D1206 | 1,526 | 1,467 | $46K | |
| D0150 | 602 | 569 | $40K | |
| D0120 | 869 | 843 | $35K | |
| D0272 | 843 | 809 | $28K | |
| D1110 | 321 | 314 | $24K | |
| D0330 | 216 | 216 | $21K | |
| D0274 | 133 | 131 | $7K | |
| D0145 | 87 | 84 | $5K | |
| D0240 | 88 | 52 | $4K | |
| D1351 | 46 | 13 | $2K | |
| D0220 | 46 | 46 | $2K | |
| D0140 | 13 | 13 | $793.00 | |
| D0210 | 13 | 12 | $787.00 |