NPI: 1841333697 · VALLEY CITY, ND 58072 · 251B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 559 | $11K |
| 2019 | 550 | $11K |
| 2020 | 314 | $8K |
| 2021 | 740 | $12K |
| 2022 | 293 | $5K |
| 2023 | 199 | $5K |
| 2024 | 337 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0302 | Completed epsdt | 185 | 175 | $21K |
| 90471 | 741 | 706 | $13K | |
| T1002 | Rn services up to 15 minutes | 694 | 299 | $12K |
| 91320 | 83 | 83 | $3K | |
| 91322 | 33 | 32 | $2K | |
| 0064A | 48 | 44 | $1K | |
| 0012A | 38 | 36 | $1K | |
| 0011A | 50 | 48 | $1K | |
| 90472 | 37 | 33 | $991.36 | |
| 90686 | 496 | 482 | $974.75 | |
| 90480 | 122 | 121 | $891.35 | |
| 0124A | 23 | 23 | $413.83 | |
| 96127 | 78 | 73 | $332.85 | |
| 0001A | 13 | 13 | $314.28 | |
| 36416 | 44 | 36 | $209.80 | |
| 90656 | 23 | 23 | $132.96 | |
| 85018 | 44 | 36 | $68.73 | |
| 91301 | 137 | 123 | $0.00 | |
| 91306 | 49 | 45 | $0.00 | |
| 91300 | 30 | 30 | $0.00 | |
| 91312 | 24 | 24 | $0.00 |