NPI: 1689197170 · IGNACIO, CO 81137 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 530 | $27K |
| 2019 | 1,904 | $67K |
| 2020 | 796 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 201 | 141 | $22K | |
| D1206 | 666 | 650 | $16K | |
| D1120 | 444 | 440 | $14K | |
| D0330 | 167 | 166 | $12K | |
| D0120 | 393 | 377 | $10K | |
| D1110 | 179 | 167 | $10K | |
| D0272 | 288 | 288 | $6K | |
| D0140 | 133 | 129 | $6K | |
| D0150 | 179 | 175 | $6K | |
| D0274 | 147 | 147 | $4K | |
| D0220 | 240 | 235 | $3K | |
| D1351 | 87 | 31 | $3K | |
| D2391 | 34 | 28 | $3K | |
| D0230 | 45 | 40 | $1K | |
| D9996 | 15 | 15 | $615.00 | |
| D0240 | 12 | 12 | $125.00 |