NPI: 1902874159 · FORT WORTH, TX 76109 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 6,153 | $341K |
| 2024 | 2,610 | $116K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 1,829 | 319 | $240K | |
| D3220 | 1,032 | 268 | $76K | |
| D2391 | 255 | 116 | $18K | |
| D1351 | 654 | 212 | $16K | |
| D2934 | 105 | 29 | $14K | |
| D2392 | 127 | 57 | $11K | |
| D0150 | 350 | 328 | $11K | |
| D0272 | 464 | 430 | $10K | |
| D7140 | 160 | 73 | $8K | |
| D9420 | 234 | 218 | $7K | |
| D0230 | 721 | 375 | $7K | |
| D1120 | 219 | 208 | $7K | |
| D9230 | 254 | 232 | $6K | |
| D0350 | 372 | 332 | $6K | |
| D0120 | 202 | 196 | $5K | |
| D0220 | 472 | 437 | $5K | |
| D1208 | 252 | 243 | $3K | |
| D0160 | 163 | 158 | $2K | |
| D2330 | 23 | 12 | $2K | |
| D0140 | 55 | 55 | $995.34 | |
| D0603 | 820 | 744 | $0.00 |