NPI: 1811373350 · SURPRISE, AZ 85379 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,438 | $1K |
| 2024 | 1,244 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 401 | 205 | $430.28 | |
| D2391 | 266 | 152 | $412.16 | |
| D1120 | 819 | 782 | $142.00 | |
| D0120 | 912 | 876 | $92.10 | |
| D9230 | 229 | 197 | $86.12 | |
| D1351 | 22 | 12 | $69.69 | |
| D0272 | 531 | 501 | $69.24 | |
| D1208 | 777 | 729 | $64.20 | |
| D0220 | 1,014 | 963 | $55.72 | |
| D0230 | 942 | 894 | $30.66 | |
| D0274 | 237 | 227 | $0.00 | |
| D2930 | 38 | 12 | $0.00 | |
| D1110 | 176 | 167 | $0.00 | |
| D0150 | 69 | 58 | $0.00 | |
| D1206 | 249 | 249 | $0.00 |