NPI: 1851406748 · LA GRANDE, OR 97850 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 4,519 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 183 | 177 | $988.00 | |
| D0210 | 124 | 119 | $812.00 | |
| D1110 | 369 | 356 | $564.00 | |
| D1120 | 256 | 252 | $520.00 | |
| D0140 | 171 | 168 | $385.00 | |
| D0274 | 352 | 339 | $348.00 | |
| D1206 | 436 | 423 | $323.00 | |
| D2392 | 82 | 66 | $284.00 | |
| D0120 | 399 | 387 | $224.00 | |
| D0602 | 393 | 383 | $165.00 | |
| D0220 | 181 | 162 | $143.00 | |
| D2940 | 15 | 12 | $105.00 | |
| D0330 | 98 | 94 | $104.00 | |
| D0603 | 285 | 275 | $55.00 | |
| D1330 | 764 | 740 | $50.00 | |
| D0270 | 13 | 13 | $22.00 | |
| D1310 | 60 | 58 | $0.00 | |
| D0601 | 12 | 12 | $0.00 | |
| D4910 | 34 | 32 | $0.00 | |
| D0350 | 246 | 147 | $0.00 | |
| D0191 | 23 | 19 | $0.00 | |
| D9996 | 23 | 20 | $0.00 |