NPI: 1710572334 · FORT WORTH, TX 76123 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,494 | $17K |
| 2022 | 7,258 | $189K |
| 2023 | 12,377 | $403K |
| 2024 | 8,688 | $192K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,145 | 282 | $145K | |
| D0145 | 878 | 849 | $114K | |
| D1351 | 4,201 | 858 | $105K | |
| D2392 | 767 | 302 | $70K | |
| D0230 | 7,494 | 2,313 | $62K | |
| D1120 | 1,935 | 1,842 | $60K | |
| D9248 | 483 | 440 | $51K | |
| D0150 | 1,237 | 1,156 | $35K | |
| D3220 | 422 | 139 | $31K | |
| D0120 | 1,067 | 1,019 | $27K | |
| D0220 | 2,825 | 2,493 | $26K | |
| D1206 | 1,854 | 1,769 | $24K | |
| D0272 | 730 | 697 | $13K | |
| D9230 | 329 | 298 | $8K | |
| D7140 | 120 | 54 | $7K | |
| D2934 | 43 | 12 | $5K | |
| D0274 | 167 | 159 | $4K | |
| D0350 | 385 | 336 | $4K | |
| D1110 | 74 | 68 | $3K | |
| D1208 | 235 | 222 | $3K | |
| D2391 | 30 | 13 | $2K | |
| D0330 | 87 | 80 | $2K | |
| D0210 | 16 | 16 | $1K | |
| D0140 | 60 | 54 | $955.14 | |
| D0603 | 3,233 | 3,079 | $0.00 |