NPI: 1851422596 · EAGLE BUTTE, SD 57625 · 1223D0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 993 | $149K |
| 2019 | 909 | $179K |
| 2020 | 252 | $50K |
| 2021 | 393 | $99K |
| 2022 | 845 | $133K |
| 2023 | 1,987 | $489K |
| 2024 | 2,056 | $505K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 2,161 | 2,095 | $789K | |
| D1206 | 1,584 | 1,530 | $215K | |
| D1110 | 580 | 564 | $160K | |
| D0120 | 1,132 | 1,103 | $137K | |
| D1120 | 237 | 237 | $90K | |
| D0330 | 537 | 526 | $87K | |
| D0274 | 248 | 245 | $64K | |
| D0220 | 155 | 154 | $20K | |
| D7140 | 116 | 83 | $18K | |
| D1351 | 205 | 32 | $8K | |
| D0210 | 38 | 38 | $4K | |
| D0603 | 240 | 227 | $3K | |
| D2391 | 19 | 12 | $3K | |
| D0150 | 79 | 79 | $2K | |
| D1208 | 49 | 49 | $1K | |
| D0602 | 55 | 55 | $455.00 |