NPI: 1669951968 · SPRINGFIELD, OR 97477 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 76 | $83.00 |
| 2022 | 786 | $649.00 |
| 2024 | 66 | $315.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 26 | 26 | $175.00 | |
| D0120 | 77 | 77 | $168.00 | |
| D0150 | 25 | 25 | $152.00 | |
| D1208 | 146 | 146 | $152.00 | |
| D0220 | 113 | 112 | $117.00 | |
| D1120 | 42 | 42 | $80.00 | |
| D0210 | 12 | 12 | $58.00 | |
| D0230 | 81 | 40 | $54.00 | |
| D1110 | 67 | 67 | $47.00 | |
| D0603 | 60 | 60 | $44.00 | |
| D0274 | 14 | 14 | $0.00 | |
| D1330 | 235 | 234 | $0.00 | |
| D2392 | 16 | 13 | $0.00 | |
| D1206 | 14 | 14 | $0.00 |