NPI: 1881800258 · PORTLAND, OR 97266 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,630 | $40K |
| 2023 | 1,649 | $35K |
| 2024 | 1,733 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 908 | 905 | $42K | |
| D1208 | 1,286 | 1,280 | $24K | |
| D0120 | 610 | 608 | $17K | |
| D0170 | 310 | 306 | $8K | |
| D0274 | 174 | 173 | $5K | |
| D0220 | 481 | 478 | $4K | |
| D0150 | 96 | 96 | $4K | |
| D0230 | 892 | 369 | $3K | |
| D4910 | 46 | 46 | $3K | |
| D0210 | 44 | 44 | $3K | |
| D0602 | 62 | 62 | $682.00 | |
| D0603 | 62 | 61 | $660.00 | |
| D1120 | 13 | 13 | $520.00 | |
| D0601 | 13 | 13 | $143.00 | |
| D1330 | 15 | 15 | $130.00 |