NPI: 1891794806 · FLORENCE, OR 97439 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $962.00 |
| 2023 | 118 | $7K |
| 2024 | 653 | $188.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 84 | 83 | $3K | |
| D0150 | 94 | 73 | $2K | |
| D1110 | 13 | 13 | $1K | |
| D1120 | 12 | 12 | $996.00 | |
| D0120 | 52 | 45 | $704.00 | |
| D0140 | 37 | 30 | $140.00 | |
| D0220 | 97 | 67 | $26.00 | |
| D0270 | 16 | 12 | $22.00 | |
| D2391 | 24 | 13 | $0.00 | |
| D0274 | 14 | 14 | $0.00 | |
| D1330 | 148 | 112 | $0.00 | |
| D1310 | 88 | 65 | $0.00 | |
| D2392 | 21 | 13 | $0.00 | |
| D0230 | 69 | 35 | $0.00 | |
| D0603 | 15 | 12 | $0.00 |