NPI: 1801182704 · POTOSI, MO 63664 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,362 | $152K |
| 2019 | 3,844 | $163K |
| 2020 | 1,050 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 570 | 246 | $96K | |
| D2392 | 468 | 283 | $56K | |
| D1120 | 1,258 | 1,239 | $49K | |
| D1206 | 1,579 | 1,547 | $38K | |
| D0120 | 611 | 605 | $18K | |
| D1110 | 308 | 294 | $15K | |
| D2391 | 146 | 98 | $15K | |
| D9230 | 377 | 341 | $14K | |
| D0272 | 508 | 504 | $13K | |
| D0220 | 685 | 649 | $13K | |
| D0150 | 182 | 181 | $8K | |
| D0330 | 157 | 156 | $8K | |
| D7140 | 89 | 45 | $6K | |
| D2393 | 15 | 12 | $3K | |
| D0274 | 101 | 100 | $3K | |
| D0140 | 44 | 44 | $3K | |
| D0230 | 123 | 105 | $2K | |
| D1351 | 35 | 12 | $775.00 |