NPI: 1912075839 · FRUITLAND, ID 83619 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $56.00 |
| 2022 | 595 | $12K |
| 2023 | 1,024 | $24K |
| 2024 | 3,259 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | 734 | 394 | $25K | |
| D2160 | 241 | 146 | $10K | |
| D7140 | 289 | 121 | $10K | |
| D1206 | 535 | 529 | $6K | |
| D0120 | 393 | 388 | $6K | |
| D1110 | 187 | 185 | $4K | |
| D0150 | 86 | 86 | $2K | |
| D0140 | 169 | 152 | $2K | |
| D0274 | 132 | 132 | $2K | |
| D2391 | 104 | 65 | $1K | |
| D1120 | 79 | 78 | $1K | |
| D0210 | 24 | 24 | $696.00 | |
| D0220 | 208 | 169 | $650.00 | |
| D2331 | 62 | 43 | $576.00 | |
| D2392 | 16 | 13 | $284.00 | |
| D2940 | 31 | 26 | $175.00 | |
| D1354 | 1,422 | 540 | $88.00 | |
| D9230 | 16 | 13 | $78.00 | |
| D1999 | 15 | 14 | $56.00 | |
| D1330 | 150 | 148 | $10.00 |