NPI: 1801268602 · FORT WORTH, TX 76105 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 91 | $967.26 |
| 2019 | 137 | $2K |
| 2020 | 4,658 | $155K |
| 2021 | 28,990 | $954K |
| 2022 | 30,561 | $1.06M |
| 2023 | 30,948 | $1.07M |
| 2024 | 30,438 | $1.14M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 14,468 | 4,656 | $1.12M | |
| D2392 | 8,786 | 3,444 | $883K | |
| D0145 | 2,802 | 2,786 | $393K | |
| D1120 | 8,060 | 8,011 | $292K | |
| D0120 | 9,135 | 9,092 | $261K | |
| D0230 | 19,651 | 8,855 | $223K | |
| D1351 | 7,029 | 2,330 | $191K | |
| D9230 | 6,796 | 6,666 | $180K | |
| D1208 | 11,684 | 11,619 | $170K | |
| D1110 | 3,036 | 3,023 | $165K | |
| D0210 | 2,252 | 2,239 | $155K | |
| D0220 | 9,432 | 9,357 | $116K | |
| D0274 | 2,884 | 2,870 | $98K | |
| D0150 | 2,057 | 2,043 | $72K | |
| D0272 | 2,315 | 2,306 | $54K | |
| D2930 | 38 | 16 | $6K | |
| D2330 | 50 | 26 | $4K | |
| D7140 | 43 | 24 | $2K | |
| D0140 | 40 | 39 | $708.33 | |
| D1352 | 24 | 13 | $386.96 | |
| D7111 | 20 | 15 | $229.40 | |
| D0240 | 12 | 12 | $117.60 | |
| D0603 | 15,124 | 15,039 | $0.00 | |
| D0602 | 68 | 68 | $0.00 | |
| D0601 | 17 | 17 | $0.00 |