NPI: 1750444840 · SPRINGFIELD, MO 65807 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,567 | $361K |
| 2019 | 12,925 | $269K |
| 2020 | 6,035 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,135 | 1,545 | $132K | |
| D0120 | 4,077 | 4,001 | $102K | |
| D1120 | 3,709 | 3,637 | $72K | |
| D0274 | 3,307 | 3,250 | $68K | |
| D1206 | 5,062 | 4,967 | $64K | |
| D2391 | 1,232 | 982 | $60K | |
| D0150 | 1,106 | 1,096 | $41K | |
| D1110 | 1,437 | 1,413 | $38K | |
| D2393 | 345 | 292 | $26K | |
| D0230 | 2,664 | 1,410 | $25K | |
| D0330 | 1,070 | 1,070 | $23K | |
| D0220 | 2,500 | 2,450 | $21K | |
| D1351 | 1,123 | 459 | $21K | |
| D0210 | 758 | 723 | $15K | |
| D0272 | 1,006 | 981 | $14K | |
| D0140 | 564 | 543 | $12K | |
| D0145 | 286 | 282 | $8K | |
| D7140 | 77 | 64 | $4K | |
| D2331 | 57 | 44 | $3K | |
| D3120 | 12 | 12 | $336.00 |