NPI: 1659938132 · MISSION, TX 78572 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 178 | $3K |
| 2021 | 4,715 | $99K |
| 2022 | 2,583 | $64K |
| 2023 | 534 | $7K |
| 2024 | 569 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,125 | 1,112 | $32K | |
| D1110 | 482 | 476 | $26K | |
| D1208 | 1,248 | 1,238 | $18K | |
| D1120 | 467 | 463 | $17K | |
| D0230 | 1,598 | 1,190 | $16K | |
| D0274 | 459 | 452 | $15K | |
| D0220 | 1,281 | 1,264 | $15K | |
| D0145 | 100 | 96 | $13K | |
| D2392 | 119 | 53 | $12K | |
| D0272 | 326 | 323 | $7K | |
| D1351 | 195 | 29 | $5K | |
| D2391 | 51 | 31 | $4K | |
| D0150 | 31 | 31 | $1K | |
| D0330 | 24 | 24 | $407.84 | |
| D0603 | 959 | 949 | $0.00 | |
| D0602 | 101 | 97 | $0.00 | |
| D0601 | 13 | 13 | $0.00 |