NPI: 1902810633 · BOISE, ID 83703 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,311 | $320K |
| 2019 | 5,342 | $308K |
| 2020 | 313 | $23K |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 5,703 | 4,845 | $583K | |
| D7140 | 641 | 347 | $47K | |
| D2392 | 113 | 98 | $15K | |
| D2391 | 80 | 62 | $4K | |
| D0210 | 53 | 53 | $3K | |
| D0150 | 253 | 253 | $0.00 | |
| D0140 | 1,007 | 995 | $0.00 | |
| D0230 | 933 | 623 | $0.00 | |
| D0120 | 189 | 189 | $0.00 | |
| D9420 | 12 | 12 | $0.00 | |
| D0274 | 246 | 246 | $0.00 | |
| D0330 | 173 | 173 | $0.00 | |
| D0270 | 431 | 426 | $0.00 | |
| D4910 | 12 | 12 | $0.00 | |
| D0220 | 1,572 | 1,544 | $-177.34 | |
| D1110 | 560 | 559 | $-177.34 |