NPI: 1699333864 · GREAT FALLS, MT 59405 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 679 | $23K |
| 2020 | 757 | $27K |
| 2021 | 857 | $24K |
| 2022 | 944 | $25K |
| 2023 | 1,330 | $42K |
| 2024 | 913 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 625 | 595 | $32K | |
| D1206 | 1,555 | 1,476 | $32K | |
| D0274 | 643 | 599 | $22K | |
| D0140 | 549 | 507 | $19K | |
| D0120 | 718 | 687 | $18K | |
| D2392 | 90 | 64 | $12K | |
| D0330 | 224 | 215 | $11K | |
| D2391 | 134 | 87 | $9K | |
| D0150 | 225 | 214 | $7K | |
| D1354 | 78 | 26 | $2K | |
| D1120 | 37 | 37 | $2K | |
| D0220 | 41 | 39 | $703.08 | |
| D1320 | 14 | 14 | $412.50 | |
| D1999 | 27 | 23 | $38.25 | |
| D4999 | 520 | 501 | $0.00 |