NPI: 1912963935 · PROVIDENCE, UT 84332 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 106 | $3K |
| 2019 | 4,267 | $133K |
| 2020 | 3,122 | $108K |
| 2021 | 2,679 | $85K |
| 2023 | 1,905 | $53K |
| 2024 | 2,048 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,111 | 4,097 | $177K | |
| D0120 | 1,518 | 1,503 | $163K | |
| D0272 | 903 | 893 | $31K | |
| D1206 | 3,931 | 3,920 | $30K | |
| D1351 | 454 | 65 | $12K | |
| D0220 | 1,271 | 1,251 | $12K | |
| D0230 | 1,437 | 1,147 | $5K | |
| D0274 | 196 | 196 | $4K | |
| D0150 | 16 | 16 | $2K | |
| D2150 | 72 | 33 | $2K | |
| D0330 | 68 | 68 | $2K | |
| D1208 | 136 | 133 | $0.00 | |
| D1110 | 14 | 14 | $0.00 |