NPI: 1760780126 · GRAND FORKS, ND 58201 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,598 | $2K |
| 2019 | 1,513 | $6K |
| 2020 | 907 | $7K |
| 2021 | 567 | $5K |
| 2022 | 115 | $1K |
| 2023 | 83 | $1K |
| 2024 | 155 | $150.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 2,425 | 1,533 | $19K | |
| 90686 | 1,649 | 1,073 | $2K | |
| 0001A | 26 | 26 | $993.90 | |
| 90674 | 476 | 239 | $190.82 | |
| 0002A | 24 | 24 | $133.65 | |
| 90672 | 117 | 105 | $52.36 | |
| 90656 | 74 | 57 | $42.42 | |
| 90660 | 13 | 13 | $27.36 | |
| G0008 | Admin influenza virus vac | 41 | 35 | $0.00 |
| 90480 | 22 | 22 | $0.00 | |
| 91322 | 19 | 19 | $0.00 | |
| 91300 | 52 | 51 | $0.00 |