NPI: 1700011160 · WICHITA FALLS, TX 76308 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 242 | $6K |
| 2021 | 1,792 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 379 | 377 | $7K | |
| D1208 | 434 | 432 | $3K | |
| D0272 | 196 | 196 | $2K | |
| D0330 | 35 | 34 | $830.15 | |
| D0145 | 62 | 61 | $575.00 | |
| D0274 | 63 | 63 | $521.27 | |
| D1351 | 208 | 55 | $494.36 | |
| D0120 | 156 | 155 | $118.50 | |
| D1110 | 41 | 41 | $113.12 | |
| D0230 | 60 | 41 | $58.82 | |
| D9230 | 54 | 51 | $54.71 | |
| D0220 | 73 | 72 | $51.62 | |
| D0150 | 17 | 17 | $36.47 | |
| D0350 | 15 | 14 | $18.72 | |
| D0603 | 241 | 239 | $0.00 |