NPI: 1801237920 · MISSOULA, MT 59801 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,302 | $129K |
| 2019 | 2,027 | $70K |
| 2020 | 1,421 | $54K |
| 2021 | 1,319 | $42K |
| 2022 | 735 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,485 | 1,421 | $72K | |
| D2392 | 377 | 252 | $46K | |
| D1206 | 2,370 | 2,288 | $45K | |
| D0120 | 1,859 | 1,812 | $43K | |
| D4910 | 639 | 626 | $42K | |
| D0274 | 953 | 933 | $31K | |
| D2391 | 228 | 148 | $15K | |
| D0150 | 226 | 216 | $7K | |
| D2393 | 34 | 28 | $6K | |
| D0230 | 418 | 112 | $3K | |
| D0330 | 41 | 40 | $2K | |
| D0210 | 31 | 29 | $2K | |
| D1320 | 15 | 14 | $534.52 | |
| D0602 | 116 | 115 | $214.57 | |
| D0601 | 12 | 12 | $31.23 |