NPI: 1891704193 · SPRINGFIELD, MO 65807 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,370 | $64K |
| 2019 | 4,111 | $81K |
| 2020 | 2,072 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 423 | 246 | $26K | |
| D0150 | 543 | 543 | $17K | |
| D0120 | 621 | 621 | $14K | |
| D1110 | 557 | 557 | $13K | |
| D1120 | 691 | 691 | $13K | |
| D1206 | 1,061 | 1,061 | $13K | |
| D0330 | 440 | 440 | $11K | |
| D0274 | 674 | 674 | $11K | |
| D0220 | 1,075 | 1,053 | $9K | |
| D0230 | 949 | 690 | $8K | |
| D0140 | 342 | 335 | $7K | |
| D2393 | 97 | 57 | $7K | |
| D0350 | 332 | 324 | $5K | |
| D7210 | 64 | 16 | $4K | |
| D7140 | 102 | 31 | $4K | |
| D0272 | 244 | 244 | $3K | |
| D0210 | 62 | 62 | $2K | |
| D9996 | 172 | 171 | $1K | |
| D2391 | 26 | 12 | $944.00 | |
| D1351 | 57 | 12 | $798.00 | |
| D9230 | 21 | 21 | $482.00 |