NPI: 1811054877 · SANDPOINT, ID 83864 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,657 | $728K |
| 2019 | 4,851 | $399K |
| 2020 | 1,624 | $193K |
| 2021 | 360 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 5,919 | 5,049 | $828K | |
| T1015 | Clinic service | 2,206 | 969 | $363K |
| D2392 | 652 | 521 | $98K | |
| D2393 | 139 | 119 | $23K | |
| G0467 | Fqhc visit, estab pt | 871 | 789 | $16K |
| D1110 | 901 | 901 | $0.00 | |
| D1120 | 692 | 692 | $0.00 | |
| D0220 | 118 | 117 | $0.00 | |
| D0274 | 896 | 896 | $0.00 | |
| D2391 | 667 | 446 | $0.00 | |
| D0272 | 386 | 386 | $0.00 | |
| D0140 | 154 | 154 | $0.00 | |
| D1351 | 102 | 29 | $0.00 | |
| D0120 | 1,048 | 1,048 | $0.00 | |
| D0150 | 377 | 376 | $0.00 | |
| D1208 | 30 | 30 | $0.00 | |
| 99308 | 30 | 29 | $0.00 | |
| D7140 | 19 | 14 | $0.00 | |
| 99309 | 285 | 282 | $-32.17 |