NPI: 1750952750 · DALLAS, OR 97338 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 794 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | 51 | 51 | $832.00 | |
| D0150 | 68 | 68 | $798.00 | |
| D0274 | 67 | 67 | $551.00 | |
| D0230 | 148 | 75 | $423.00 | |
| D0220 | 92 | 92 | $325.00 | |
| D2391 | 22 | 18 | $280.00 | |
| D0140 | 17 | 17 | $175.00 | |
| D0603 | 66 | 66 | $165.00 | |
| D2392 | 14 | 14 | $142.00 | |
| D1206 | 12 | 12 | $57.00 | |
| D0120 | 12 | 12 | $56.00 | |
| D0602 | 12 | 12 | $55.00 | |
| D1310 | 106 | 106 | $10.00 | |
| D1330 | 107 | 107 | $0.00 |