NPI: 1699879700 · FLAGSTAFF, AZ 86001 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,086 | $634.00 |
| 2019 | 4,776 | $9K |
| 2020 | 287 | $5K |
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,276 | 1,253 | $4K | |
| D1206 | 1,496 | 1,466 | $3K | |
| D0120 | 1,296 | 1,275 | $1K | |
| D2930 | 43 | 17 | $1K | |
| D1351 | 492 | 138 | $987.24 | |
| D0272 | 587 | 572 | $924.40 | |
| D0150 | 27 | 27 | $728.82 | |
| D7140 | 57 | 27 | $689.67 | |
| D2391 | 37 | 23 | $637.02 | |
| D2392 | 63 | 38 | $427.45 | |
| D9230 | 154 | 147 | $222.75 | |
| D0145 | 28 | 27 | $209.72 | |
| D0220 | 193 | 182 | $156.24 | |
| D1354 | 58 | 16 | $116.10 | |
| D0230 | 44 | 42 | $64.20 | |
| D1110 | 94 | 92 | $47.56 | |
| D0274 | 13 | 12 | $29.99 | |
| D0330 | 12 | 12 | $0.00 | |
| D1330 | 1,368 | 1,283 | $0.00 | |
| D0603 | 751 | 645 | $0.00 | |
| D0140 | 52 | 51 | $0.00 | |
| D0210 | 20 | 18 | $0.00 |