NPI: 1659667343 · SALT LAKE CITY, UT 84116 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,709 | $192K |
| 2019 | 8,594 | $238K |
| 2020 | 2,168 | $64K |
| 2021 | 2,452 | $71K |
| 2023 | 882 | $17K |
| 2024 | 1,590 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 2,943 | 2,915 | $159K | |
| D2392 | 1,535 | 662 | $82K | |
| D9248 | 452 | 432 | $40K | |
| D0120 | 1,261 | 1,257 | $38K | |
| D2391 | 908 | 414 | $38K | |
| D0272 | 1,749 | 1,728 | $36K | |
| D0140 | 1,006 | 1,001 | $33K | |
| D0220 | 1,991 | 1,944 | $31K | |
| D0230 | 4,451 | 2,691 | $31K | |
| D1208 | 2,529 | 2,504 | $25K | |
| D0150 | 806 | 790 | $25K | |
| D1351 | 1,023 | 228 | $23K | |
| D7140 | 355 | 176 | $13K | |
| D9230 | 602 | 583 | $11K | |
| D2930 | 97 | 42 | $9K | |
| D1206 | 314 | 314 | $6K | |
| D0274 | 178 | 175 | $4K | |
| D0330 | 84 | 84 | $3K | |
| D2330 | 42 | 25 | $2K | |
| D2393 | 34 | 26 | $2K | |
| D1110 | 12 | 12 | $597.72 | |
| D3120 | 23 | 14 | $430.50 |