NPI: 1811902091 · DEWITT, AR 72042 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 135 | $26.64 |
| 2019 | 102 | $0.00 |
| 2020 | 103 | $67.76 |
| 2021 | 3,678 | $32K |
| 2022 | 366 | $2K |
| 2023 | 122 | $0.00 |
| 2024 | 85 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 893 | 748 | $9K | |
| 0012A | 744 | 669 | $7K | |
| 0002A | 157 | 157 | $6K | |
| 0001A | 185 | 184 | $6K | |
| 0071A | 56 | 49 | $2K | |
| 0013A | 291 | 289 | $2K | |
| 0031A | 76 | 63 | $880.00 | |
| 0072A | 12 | 12 | $540.00 | |
| 0064A | 75 | 75 | $120.00 | |
| A4253 | Blood glucose/reagent strips | 57 | 53 | $26.64 |
| 91303 | 37 | 25 | $0.22 | |
| G0008 | Admin influenza virus vac | 379 | 379 | $0.19 |
| 90653 | 80 | 80 | $0.00 | |
| 90662 | 138 | 138 | $0.00 | |
| 91322 | 40 | 40 | $0.00 | |
| 91300 | 380 | 338 | $0.00 | |
| 91301 | 749 | 531 | $0.00 | |
| 91307 | 103 | 91 | $0.00 | |
| 90471 | 25 | 25 | $0.00 | |
| 0134A | 45 | 45 | $0.00 | |
| 90480 | 40 | 40 | $0.00 | |
| 90686 | 29 | 29 | $0.00 |