NPI: 1831646256 · GRAND PRAIRIE, TX 75051 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $0.00 |
| 2020 | 1,739 | $52K |
| 2021 | 15,502 | $439K |
| 2022 | 20,643 | $663K |
| 2023 | 18,089 | $530K |
| 2024 | 14,711 | $425K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 4,968 | 2,205 | $479K | |
| D0145 | 1,496 | 1,485 | $209K | |
| D0120 | 7,004 | 6,951 | $198K | |
| D1120 | 5,500 | 5,459 | $197K | |
| D1351 | 5,664 | 1,712 | $153K | |
| D2391 | 1,823 | 1,003 | $140K | |
| D0210 | 1,680 | 1,663 | $113K | |
| D1208 | 7,851 | 7,793 | $113K | |
| D0230 | 8,767 | 5,503 | $97K | |
| D9230 | 3,428 | 3,365 | $89K | |
| D1110 | 1,585 | 1,570 | $83K | |
| D0220 | 5,956 | 5,897 | $73K | |
| D0274 | 2,053 | 2,039 | $70K | |
| D0272 | 1,746 | 1,730 | $40K | |
| D7240 | 134 | 42 | $37K | |
| D0150 | 328 | 328 | $11K | |
| D2930 | 47 | 30 | $6K | |
| D0140 | 63 | 63 | $1K | |
| D0330 | 12 | 12 | $701.58 | |
| D0350 | 31 | 31 | $218.72 | |
| D0603 | 10,565 | 10,506 | $0.00 |