NPI: 1801195706 · LEWISVILLE, TX 75067 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 39 | $522.60 |
| 2021 | 1,083 | $23K |
| 2022 | 1,977 | $55K |
| 2023 | 1,093 | $23K |
| 2024 | 1,081 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | 256 | 251 | $35K | |
| D1351 | 1,048 | 217 | $27K | |
| D0120 | 498 | 495 | $14K | |
| D1120 | 375 | 370 | $14K | |
| D1208 | 745 | 740 | $11K | |
| D0230 | 519 | 461 | $6K | |
| D0220 | 485 | 479 | $6K | |
| D0272 | 142 | 142 | $3K | |
| D0210 | 40 | 40 | $2K | |
| D2392 | 26 | 14 | $2K | |
| D1110 | 28 | 28 | $2K | |
| D0274 | 24 | 24 | $830.64 | |
| D9230 | 14 | 13 | $379.54 | |
| D0602 | 940 | 928 | $0.00 | |
| D0601 | 133 | 131 | $0.00 |