NPI: 1861503674 · SALT LAKE CITY, UT 84107 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,403 | $120K |
| 2019 | 856 | $41K |
| 2020 | 858 | $61K |
| 2021 | 1,978 | $122K |
| 2022 | 904 | $56K |
| 2023 | 777 | $25K |
| 2024 | 1,945 | $231K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 1,547 | 1,309 | $227K | |
| D2740 | 230 | 88 | $138K | |
| D7210 | 2,195 | 775 | $112K | |
| D0150 | 496 | 465 | $83K | |
| D0120 | 187 | 174 | $26K | |
| D2950 | 159 | 70 | $16K | |
| D2150 | 277 | 127 | $15K | |
| D0220 | 1,751 | 1,533 | $11K | |
| D0230 | 1,541 | 1,282 | $7K | |
| D2160 | 88 | 55 | $5K | |
| D0210 | 432 | 403 | $5K | |
| D2140 | 126 | 57 | $5K | |
| D4355 | 254 | 231 | $4K | |
| D2161 | 19 | 12 | $2K | |
| D0330 | 289 | 246 | $0.00 | |
| D0274 | 78 | 73 | $0.00 | |
| D1120 | 39 | 39 | $0.00 | |
| D1110 | 13 | 13 | $0.00 |