NPI: 1801953518 · OREM, UT 84057 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 491 | $0.00 |
| 2019 | 705 | $3K |
| 2020 | 738 | $4K |
| 2021 | 1,453 | $2K |
| 2022 | 1,147 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | 111 | 108 | $6K | |
| 99215 | Prolong outpt/office vis | 22 | 15 | $3K |
| 94760 | 1,040 | 717 | $754.88 | |
| 80061 | 127 | 94 | $270.68 | |
| 36415 | 602 | 483 | $263.70 | |
| 86769 | 135 | 129 | $126.39 | |
| 82150 | 232 | 175 | $93.56 | |
| 84550 | 231 | 174 | $32.20 | |
| 83735 | 232 | 175 | $9.07 | |
| 80076 | 289 | 213 | $9.07 | |
| 82550 | 232 | 175 | $3.70 | |
| 80048 | 236 | 177 | $0.00 | |
| 83615 | 232 | 175 | $0.00 | |
| 83036 | 16 | 12 | $0.00 | |
| 3008F | 124 | 104 | $0.00 | |
| 3074F | 14 | 14 | $0.00 | |
| 84443 | 15 | 12 | $0.00 | |
| 86413 | 39 | 36 | $0.00 | |
| 82977 | 232 | 175 | $0.00 | |
| 83721 | 127 | 94 | $0.00 | |
| 84100 | 234 | 176 | $0.00 | |
| 3078F | 12 | 12 | $0.00 |