NPI: 1679234496 · FORT WORTH, TX 76164 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 10,443 | $414K |
| 2023 | 21,963 | $881K |
| 2024 | 7,032 | $165K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 4,757 | 1,406 | $481K | |
| D2930 | 1,309 | 295 | $189K | |
| D2391 | 2,135 | 840 | $163K | |
| D0230 | 7,963 | 3,072 | $89K | |
| D1120 | 2,155 | 2,130 | $77K | |
| D0150 | 1,911 | 1,884 | $65K | |
| D0145 | 370 | 366 | $51K | |
| D0274 | 1,484 | 1,466 | $49K | |
| D9230 | 1,739 | 1,698 | $46K | |
| D1208 | 3,124 | 3,089 | $45K | |
| D1110 | 848 | 837 | $45K | |
| D0220 | 3,200 | 3,147 | $39K | |
| D0120 | 1,118 | 1,105 | $32K | |
| D1351 | 998 | 306 | $27K | |
| D0350 | 1,650 | 1,615 | $27K | |
| D0272 | 863 | 859 | $20K | |
| D9248 | 71 | 71 | $8K | |
| D2330 | 75 | 39 | $6K | |
| D3220 | 22 | 12 | $2K | |
| D0170 | 12 | 12 | $82.70 | |
| D0603 | 3,634 | 3,581 | $0.00 |