NPI: 1902285190 · PROVIDENCE, UT 84332 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $3K |
| 2019 | 6,311 | $182K |
| 2020 | 2,795 | $95K |
| 2021 | 4,620 | $137K |
| 2022 | 4,282 | $129K |
| 2023 | 5,874 | $197K |
| 2024 | 6,122 | $208K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,487 | 4,481 | $382K | |
| D0272 | 2,926 | 2,913 | $90K | |
| D1120 | 4,145 | 4,140 | $76K | |
| D2392 | 809 | 401 | $72K | |
| D0220 | 3,784 | 3,765 | $56K | |
| D1206 | 4,361 | 4,354 | $45K | |
| D0230 | 4,468 | 3,609 | $41K | |
| D2391 | 516 | 333 | $37K | |
| D0330 | 900 | 900 | $32K | |
| D0274 | 1,043 | 1,041 | $26K | |
| D1351 | 1,086 | 213 | $25K | |
| D2150 | 565 | 306 | $20K | |
| D0150 | 120 | 120 | $12K | |
| D2140 | 274 | 179 | $11K | |
| D1110 | 207 | 207 | $10K | |
| D9420 | 113 | 113 | $10K | |
| D7140 | 107 | 62 | $7K | |
| D0140 | 16 | 15 | $505.27 | |
| D1208 | 157 | 157 | $0.00 |