NPI: 1770001612 · BOUNTIFUL, UT 84010 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,716 | $58K |
| 2019 | 1,483 | $31K |
| 2020 | 1,752 | $53K |
| 2021 | 1,012 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,169 | 1,166 | $119K | |
| D0220 | 916 | 905 | $18K | |
| D0150 | 71 | 71 | $10K | |
| D1351 | 431 | 80 | $9K | |
| D2150 | 131 | 73 | $5K | |
| D1120 | 1,305 | 1,302 | $5K | |
| D2392 | 51 | 28 | $5K | |
| D2140 | 16 | 12 | $2K | |
| D0272 | 596 | 594 | $1K | |
| D1206 | 1,320 | 1,318 | $1K | |
| D9230 | 77 | 70 | $891.40 | |
| D0330 | 49 | 49 | $654.41 | |
| D0230 | 819 | 802 | $324.31 | |
| D0274 | 12 | 12 | $101.07 |