NPI: 1871727826 · SEDALIA, MO 65301 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,856 | $343K |
| 2019 | 3,581 | $90K |
| 2020 | 898 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 2,016 | 1,953 | $54K | |
| D2930 | 284 | 146 | $54K | |
| D1120 | 1,459 | 1,410 | $52K | |
| D0120 | 1,742 | 1,688 | $49K | |
| D1351 | 1,178 | 404 | $35K | |
| D2391 | 406 | 326 | $34K | |
| D0330 | 412 | 387 | $33K | |
| D1110 | 570 | 555 | $32K | |
| D0272 | 1,010 | 994 | $26K | |
| D0274 | 560 | 548 | $18K | |
| D2392 | 176 | 142 | $17K | |
| D2140 | 160 | 111 | $12K | |
| D2150 | 123 | 92 | $10K | |
| D0230 | 434 | 335 | $9K | |
| D0220 | 537 | 526 | $7K | |
| D0210 | 187 | 141 | $5K | |
| D7140 | 17 | 12 | $2K | |
| D0150 | 25 | 24 | $1K | |
| D9230 | 23 | 16 | $800.00 | |
| D0140 | 16 | 16 | $800.00 |