NPI: 1760730022 · BAKER CITY, OR 97814 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 313 | $781.90 |
| 2021 | 255 | $1K |
| 2022 | 7,960 | $40K |
| 2023 | 7,761 | $25K |
| 2024 | 7,497 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,089 | 4,059 | $14K | |
| D1110 | 2,389 | 2,371 | $12K | |
| D1120 | 2,176 | 2,156 | $12K | |
| D2392 | 1,040 | 884 | $11K | |
| D0274 | 2,645 | 2,620 | $7K | |
| D2391 | 808 | 702 | $7K | |
| D7140 | 910 | 478 | $7K | |
| D0140 | 1,620 | 1,579 | $6K | |
| D1206 | 2,119 | 2,108 | $5K | |
| D0210 | 574 | 574 | $5K | |
| D4341 | 275 | 129 | $5K | |
| D0150 | 972 | 961 | $5K | |
| D4910 | 677 | 669 | $4K | |
| D0272 | 629 | 623 | $2K | |
| D0330 | 995 | 977 | $2K | |
| D2393 | 121 | 115 | $2K | |
| D0220 | 1,082 | 998 | $1K | |
| D1208 | 473 | 464 | $1K | |
| D2331 | 47 | 39 | $560.00 | |
| D0145 | 52 | 52 | $52.50 | |
| D1330 | 93 | 93 | $0.00 |