NPI: 1750549408 · SPRINGFIELD, MO 65807 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,170 | $183K |
| 2019 | 6,267 | $162K |
| 2020 | 1,509 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 5,368 | 980 | $104K | |
| D2392 | 1,210 | 479 | $94K | |
| D0150 | 1,434 | 1,404 | $64K | |
| D1120 | 1,204 | 1,180 | $29K | |
| D1206 | 1,523 | 1,494 | $24K | |
| D2393 | 228 | 136 | $18K | |
| D0230 | 1,308 | 677 | $18K | |
| D0274 | 452 | 444 | $9K | |
| D0220 | 735 | 719 | $8K | |
| D1110 | 169 | 166 | $5K | |
| D0272 | 182 | 174 | $3K | |
| D0140 | 104 | 104 | $3K | |
| D0120 | 29 | 29 | $763.00 |