NPI: 1689264053 · DALLAS, TX 75244 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,498 | $15K |
| 2022 | 2,204 | $3K |
| 2023 | 335 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 81408 | 117 | 104 | $8K | |
| 81407 | 118 | 105 | $3K | |
| 81226 | 198 | 177 | $3K | |
| 81406 | 117 | 104 | $1K | |
| 81238 | 216 | 189 | $957.60 | |
| 81414 | 91 | 86 | $935.84 | |
| 81413 | 95 | 90 | $935.84 | |
| 81405 | 133 | 120 | $623.16 | |
| 81225 | 198 | 177 | $465.00 | |
| 81401 | 389 | 346 | $218.66 | |
| 81241 | 261 | 226 | $117.10 | |
| 81240 | 248 | 220 | $104.84 | |
| 81355 | 198 | 177 | $70.39 | |
| 81442 | 77 | 72 | $0.00 | |
| 81335 | 236 | 208 | $0.00 | |
| 81404 | 129 | 119 | $0.00 | |
| 81411 | 77 | 72 | $0.00 | |
| 81418 | 17 | 16 | $0.00 | |
| 81328 | 32 | 29 | $0.00 | |
| 81291 | 210 | 189 | $0.00 | |
| 81479 | 20 | 18 | $0.00 | |
| 81403 | 128 | 120 | $0.00 | |
| 81306 | 247 | 219 | $0.00 | |
| 81231 | 198 | 177 | $0.00 | |
| 81227 | 210 | 189 | $0.00 | |
| 81410 | 77 | 72 | $0.00 |