NPI: 1851884258 · PRESTON, ID 83263 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 816 | $20K |
| 2023 | 1,876 | $48K |
| 2024 | 1,801 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 933 | 462 | $47K | |
| D1110 | 525 | 525 | $35K | |
| D2393 | 79 | 43 | $10K | |
| D0330 | 114 | 114 | $6K | |
| D2391 | 284 | 168 | $6K | |
| D0210 | 45 | 45 | $5K | |
| D0150 | 188 | 188 | $3K | |
| D1120 | 59 | 59 | $3K | |
| D0274 | 354 | 354 | $289.19 | |
| D0220 | 405 | 404 | $85.30 | |
| D0120 | 509 | 508 | $55.90 | |
| D0230 | 625 | 340 | $0.00 | |
| D1206 | 313 | 313 | $0.00 | |
| D0272 | 26 | 26 | $0.00 | |
| D1208 | 15 | 15 | $0.00 | |
| D9230 | 19 | 15 | $0.00 |