NPI: 1801679287 · CHUBBUCK, ID 83202 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 54 | $654.05 |
| 2024 | 5,037 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 303 | 118 | $26K | |
| D1120 | 378 | 377 | $16K | |
| D0150 | 150 | 150 | $10K | |
| D0140 | 150 | 148 | $5K | |
| D1110 | 52 | 52 | $4K | |
| D2391 | 82 | 56 | $3K | |
| D9248 | 30 | 29 | $2K | |
| D7140 | 101 | 43 | $2K | |
| D0210 | 12 | 12 | $2K | |
| D1351 | 853 | 197 | $1K | |
| D0330 | 27 | 27 | $745.51 | |
| D1206 | 441 | 440 | $553.81 | |
| D1354 | 275 | 126 | $340.00 | |
| D0274 | 39 | 39 | $157.30 | |
| D9230 | 234 | 227 | $43.95 | |
| D0220 | 489 | 473 | $0.00 | |
| D0272 | 226 | 224 | $0.00 | |
| D0230 | 985 | 400 | $0.00 | |
| D0120 | 264 | 263 | $-21.53 |