NPI: 1881975159 · FORNEY, TX 75126 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 46 | $580.30 |
| 2022 | 9,350 | $183K |
| 2023 | 138 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,180 | 336 | $29K | |
| D1120 | 945 | 943 | $29K | |
| D0120 | 1,255 | 1,246 | $27K | |
| D0145 | 205 | 203 | $26K | |
| D1110 | 437 | 431 | $13K | |
| D1208 | 1,066 | 1,060 | $11K | |
| D0330 | 315 | 310 | $9K | |
| D0230 | 858 | 253 | $8K | |
| D0274 | 290 | 285 | $7K | |
| D0272 | 331 | 322 | $6K | |
| D1206 | 330 | 328 | $4K | |
| D0220 | 376 | 369 | $4K | |
| D2930 | 29 | 13 | $4K | |
| D0150 | 108 | 105 | $3K | |
| D9230 | 70 | 68 | $2K | |
| D0140 | 15 | 14 | $281.70 | |
| D0350 | 63 | 12 | $216.88 | |
| D0270 | 13 | 13 | $63.21 | |
| D0603 | 1,648 | 1,637 | $0.00 |