NPI: 1770628976 · GRESHAM, OR 97030 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 479 | $10K |
| 2020 | 3,312 | $67K |
| 2021 | 1,103 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 416 | 416 | $19K | |
| D0120 | 612 | 612 | $17K | |
| D1206 | 729 | 729 | $14K | |
| D2392 | 184 | 132 | $13K | |
| D0274 | 334 | 334 | $9K | |
| D0220 | 615 | 600 | $8K | |
| D1120 | 189 | 189 | $8K | |
| D0140 | 162 | 159 | $6K | |
| D0230 | 461 | 393 | $4K | |
| D0150 | 79 | 79 | $3K | |
| D1999 | 862 | 714 | $3K | |
| D0210 | 25 | 25 | $1K | |
| D4910 | 15 | 15 | $1K | |
| D2391 | 16 | 15 | $896.00 | |
| D0603 | 31 | 31 | $308.00 | |
| D0602 | 14 | 14 | $143.00 | |
| D1330 | 150 | 150 | $80.00 |