NPI: 1902914369 · MANSFIELD, TX 76063 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 151 | $3K |
| 2021 | 3,344 | $73K |
| 2022 | 3,688 | $86K |
| 2023 | 2,530 | $51K |
| 2024 | 1,756 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,407 | 1,376 | $39K | |
| D1110 | 663 | 655 | $35K | |
| D1351 | 1,262 | 212 | $34K | |
| D1120 | 763 | 746 | $27K | |
| D1208 | 1,568 | 1,544 | $22K | |
| D0220 | 1,449 | 1,405 | $17K | |
| D0274 | 505 | 499 | $17K | |
| D0230 | 1,361 | 1,318 | $15K | |
| D0272 | 708 | 696 | $15K | |
| D0145 | 100 | 100 | $14K | |
| D2392 | 71 | 37 | $7K | |
| D0330 | 59 | 58 | $2K | |
| D0150 | 20 | 20 | $699.34 | |
| D0603 | 263 | 261 | $0.00 | |
| D0601 | 418 | 406 | $0.00 | |
| D0602 | 852 | 840 | $0.00 |