NPI: 1700266889 · SANDY, UT 84093 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,842 | $49K |
| 2019 | 4,391 | $124K |
| 2020 | 2,988 | $86K |
| 2021 | 2,673 | $80K |
| 2022 | 2,523 | $72K |
| 2023 | 2,906 | $92K |
| 2024 | 2,359 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,152 | 4,150 | $334K | |
| D0150 | 588 | 588 | $60K | |
| D1120 | 4,729 | 4,725 | $56K | |
| D1206 | 4,941 | 4,939 | $29K | |
| D0272 | 2,699 | 2,696 | $23K | |
| D2150 | 360 | 222 | $21K | |
| D1351 | 619 | 105 | $18K | |
| D2392 | 171 | 92 | $16K | |
| D0274 | 374 | 374 | $6K | |
| D2140 | 90 | 65 | $5K | |
| D0220 | 587 | 577 | $4K | |
| D0330 | 160 | 160 | $2K | |
| D0140 | 15 | 15 | $761.14 | |
| D2391 | 17 | 12 | $402.36 | |
| D0230 | 180 | 171 | $342.17 |