NPI: 1851585285 · GRENADA, MS 38901 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,652 | $177K |
| 2019 | 1,119 | $37K |
| 2020 | 1,162 | $31K |
| 2021 | 190 | $4K |
| 2024 | 65 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,561 | 1,456 | $60K | |
| D1120 | 1,505 | 1,448 | $43K | |
| D2392 | 370 | 224 | $35K | |
| D1206 | 951 | 914 | $23K | |
| D2391 | 281 | 164 | $19K | |
| D0274 | 698 | 630 | $19K | |
| D0330 | 355 | 331 | $17K | |
| D0210 | 163 | 159 | $10K | |
| D1351 | 394 | 89 | $10K | |
| D0140 | 237 | 218 | $9K | |
| D7140 | 55 | 38 | $4K | |
| D0220 | 161 | 146 | $2K | |
| D0120 | 19 | 19 | $607.72 | |
| D0272 | 13 | 12 | $224.33 | |
| D1208 | 69 | 30 | $100.00 | |
| D1999 | 356 | 326 | $0.00 |