NPI: 1821446279 · SALT LAKE CITY, UT 84108 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 515 | $17K |
| 2019 | 220 | $9K |
| 2020 | 686 | $15K |
| 2021 | 8,076 | $365K |
| 2022 | 6,326 | $302K |
| 2023 | 16,618 | $1.54M |
| 2024 | 28,543 | $2.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | 12,298 | 3,808 | $961K | |
| D2740 | 1,071 | 702 | $599K | |
| D5110 | 509 | 509 | $441K | |
| D0330 | 4,108 | 4,069 | $278K | |
| D5120 | 325 | 325 | $265K | |
| D4341 | 1,590 | 794 | $255K | |
| D7210 | 1,456 | 920 | $185K | |
| D0210 | 1,652 | 1,637 | $160K | |
| D1110 | 2,849 | 2,818 | $157K | |
| D2392 | 1,440 | 1,066 | $138K | |
| D0150 | 4,297 | 4,244 | $126K | |
| D0140 | 3,852 | 3,728 | $112K | |
| D2391 | 1,440 | 981 | $108K | |
| D0274 | 2,812 | 2,804 | $98K | |
| D4342 | 884 | 486 | $83K | |
| D2331 | 857 | 619 | $80K | |
| D2950 | 839 | 653 | $78K | |
| D2330 | 969 | 620 | $71K | |
| D0120 | 2,509 | 2,503 | $66K | |
| D2393 | 580 | 481 | $65K | |
| D0220 | 5,222 | 5,011 | $55K | |
| D2332 | 414 | 303 | $47K | |
| D1206 | 2,121 | 2,110 | $39K | |
| D0230 | 4,897 | 2,471 | $35K | |
| D2335 | 240 | 165 | $31K | |
| D2150 | 346 | 258 | $26K | |
| D5214 | 14 | 14 | $12K | |
| D2140 | 343 | 224 | $10K | |
| D9420 | 106 | 106 | $10K | |
| D1120 | 80 | 80 | $4K | |
| D0270 | 223 | 222 | $2K | |
| D2160 | 14 | 12 | $1K | |
| D0272 | 28 | 28 | $770.66 | |
| D0170 | 13 | 12 | $392.39 | |
| D0190 | 468 | 465 | $195.76 | |
| D0180 | 33 | 33 | $33.55 | |
| D9995 | 34 | 34 | $0.00 | |
| D1999 | 51 | 35 | $0.00 |