NPI: 1912381591 · BUCKEYE, AZ 85326 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 131 | $2K |
| 2022 | 1,779 | $31K |
| 2023 | 3,389 | $83K |
| 2024 | 2,363 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,036 | 1,034 | $46K | |
| D0120 | 1,231 | 1,224 | $32K | |
| D1206 | 1,798 | 1,781 | $31K | |
| D0274 | 1,011 | 1,003 | $18K | |
| D0210 | 218 | 216 | $11K | |
| D1120 | 239 | 239 | $9K | |
| D0150 | 251 | 248 | $9K | |
| D7140 | 79 | 37 | $6K | |
| D2392 | 63 | 51 | $4K | |
| D0140 | 71 | 68 | $2K | |
| D4910 | 27 | 27 | $1K | |
| D0603 | 317 | 313 | $942.35 | |
| D0220 | 60 | 58 | $546.00 | |
| D4346 | 12 | 12 | $484.00 | |
| D0272 | 28 | 28 | $280.00 | |
| D0601 | 78 | 78 | $66.00 | |
| D1330 | 637 | 603 | $44.35 | |
| D1310 | 474 | 451 | $33.35 | |
| D0602 | 32 | 32 | $23.00 |