NPI: 1861879066 · SURPRISE, AZ 85374 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 835 | $1K |
| 2019 | 1,017 | $27K |
| 2020 | 1,644 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,093 | 1,675 | $64K |
| D1120 | 152 | 145 | $0.00 | |
| D0274 | 110 | 106 | $0.00 | |
| D0220 | 272 | 250 | $0.00 | |
| D1110 | 34 | 34 | $0.00 | |
| D1206 | 361 | 345 | $0.00 | |
| D0120 | 179 | 174 | $0.00 | |
| D0140 | 138 | 131 | $0.00 | |
| D0272 | 17 | 17 | $0.00 | |
| D0603 | 36 | 34 | $0.00 | |
| D0602 | 16 | 16 | $0.00 | |
| D0150 | 69 | 61 | $0.00 | |
| D0230 | 19 | 18 | $0.00 |