NPI: 1699096818 · MAGNOLIA, AR 71753 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,239 | $150K |
| 2019 | 3,987 | $142K |
| 2020 | 1,533 | $47K |
| 2021 | 12 | $296.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,360 | 1,249 | $64K | |
| D0120 | 1,960 | 1,740 | $51K | |
| D2150 | 545 | 345 | $43K | |
| D0272 | 1,586 | 1,429 | $39K | |
| D0210 | 371 | 340 | $31K | |
| D1208 | 1,613 | 1,456 | $31K | |
| D1120 | 677 | 600 | $24K | |
| D9230 | 595 | 497 | $15K | |
| D0140 | 444 | 391 | $15K | |
| D2160 | 112 | 83 | $10K | |
| D2140 | 92 | 59 | $6K | |
| D0220 | 254 | 231 | $4K | |
| D0150 | 80 | 78 | $3K | |
| D7140 | 26 | 15 | $2K | |
| D0274 | 56 | 54 | $1K |