NPI: 1679866792 · JEFFERSON CITY, MO 65109 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,007 | $545K |
| 2019 | 10,442 | $497K |
| 2020 | 3,009 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,294 | 3,218 | $195K | |
| D0120 | 4,380 | 4,280 | $191K | |
| D1206 | 4,174 | 4,076 | $153K | |
| D0274 | 2,782 | 2,722 | $152K | |
| D2392 | 716 | 507 | $129K | |
| D1351 | 2,431 | 949 | $116K | |
| D1110 | 1,027 | 1,006 | $76K | |
| D0272 | 1,532 | 1,505 | $64K | |
| D9230 | 597 | 542 | $38K | |
| D0220 | 738 | 729 | $19K | |
| D0150 | 120 | 120 | $10K | |
| D0330 | 82 | 82 | $9K | |
| D0140 | 136 | 135 | $9K | |
| D0230 | 273 | 217 | $9K | |
| D2393 | 32 | 27 | $6K | |
| D0210 | 69 | 69 | $2K | |
| D0145 | 38 | 37 | $2K | |
| D3120 | 25 | 24 | $2K | |
| D2391 | 12 | 12 | $2K |