NPI: 1689758252 · PHARR, TX 78577 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 227 | $2K |
| 2022 | 565 | $8K |
| 2023 | 506 | $4K |
| 2024 | 192 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 117 | 100 | $2K | |
| D1120 | 88 | 82 | $2K | |
| D0120 | 89 | 85 | $2K | |
| D1208 | 199 | 177 | $2K | |
| D0230 | 261 | 112 | $2K | |
| D1110 | 41 | 37 | $2K | |
| D0220 | 152 | 125 | $1K | |
| D0330 | 43 | 39 | $1K | |
| D0210 | 15 | 14 | $911.26 | |
| D0274 | 44 | 40 | $857.65 | |
| D1206 | 44 | 43 | $527.73 | |
| D0272 | 13 | 12 | $187.04 | |
| D0602 | 267 | 250 | $0.00 | |
| D0603 | 100 | 86 | $0.00 | |
| D0601 | 17 | 17 | $0.00 |