NPI: 1821539628 · SPRINGFIELD, MO 65807 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,807 | $113K |
| 2019 | 3,794 | $137K |
| 2020 | 761 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 459 | 346 | $62K | |
| D2391 | 445 | 322 | $39K | |
| D1206 | 1,280 | 1,246 | $30K | |
| D1110 | 619 | 609 | $29K | |
| D1120 | 705 | 681 | $27K | |
| D0120 | 769 | 742 | $22K | |
| D0330 | 315 | 312 | $17K | |
| D0150 | 289 | 275 | $15K | |
| D0272 | 461 | 438 | $12K | |
| D0274 | 349 | 347 | $11K | |
| D0220 | 445 | 424 | $7K | |
| D7140 | 49 | 24 | $4K | |
| D9230 | 66 | 53 | $4K | |
| D0230 | 98 | 83 | $1K | |
| D0140 | 13 | 13 | $395.95 |