NPI: 1902312796 · GRAND PRAIRIE, TX 75052 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 845 | $21K |
| 2021 | 8,516 | $233K |
| 2022 | 8,355 | $212K |
| 2023 | 8,563 | $185K |
| 2024 | 7,486 | $131K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,540 | 772 | $141K | |
| D1120 | 2,461 | 2,394 | $84K | |
| D0230 | 8,078 | 2,770 | $81K | |
| D0145 | 615 | 592 | $79K | |
| D0120 | 2,615 | 2,558 | $72K | |
| D1351 | 2,620 | 733 | $67K | |
| D1208 | 3,607 | 3,513 | $50K | |
| D1110 | 753 | 742 | $39K | |
| D2391 | 522 | 312 | $39K | |
| D0220 | 3,051 | 2,944 | $35K | |
| D0274 | 931 | 914 | $30K | |
| D0210 | 368 | 362 | $24K | |
| D0150 | 688 | 653 | $22K | |
| D0272 | 656 | 647 | $15K | |
| D9230 | 279 | 236 | $6K | |
| D1330 | 81 | 81 | $698.25 | |
| D0603 | 4,900 | 4,767 | $0.00 |