NPI: 1902892235 · MEXICO, MO 65265 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,462 | $330K |
| 2019 | 5,907 | $173K |
| 2020 | 669 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 702 | 491 | $84K | |
| D1206 | 2,203 | 2,121 | $59K | |
| D1120 | 1,559 | 1,495 | $55K | |
| D1110 | 698 | 673 | $41K | |
| D0120 | 1,442 | 1,387 | $40K | |
| D0330 | 442 | 432 | $35K | |
| D2391 | 361 | 258 | $32K | |
| D0230 | 1,140 | 701 | $27K | |
| D2930 | 144 | 115 | $25K | |
| D0272 | 995 | 958 | $25K | |
| D1351 | 755 | 268 | $21K | |
| D0274 | 556 | 548 | $16K | |
| D0220 | 952 | 890 | $14K | |
| D7140 | 161 | 88 | $13K | |
| D0150 | 271 | 268 | $13K | |
| D0210 | 380 | 254 | $7K | |
| D0140 | 147 | 129 | $6K | |
| D2150 | 45 | 28 | $4K | |
| D9230 | 46 | 42 | $536.00 | |
| D0240 | 39 | 25 | $239.00 |