NPI: 1922178870 · SIERRA VISTA, AZ 85635 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,743 | $723.37 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 478 | 235 | $237.05 | |
| D1110 | 260 | 256 | $122.02 | |
| D0120 | 710 | 699 | $91.33 | |
| D1208 | 625 | 617 | $91.32 | |
| D1120 | 600 | 583 | $89.70 | |
| D0274 | 397 | 390 | $71.56 | |
| D0272 | 404 | 388 | $20.39 | |
| D1206 | 219 | 207 | $0.00 | |
| D0150 | 174 | 164 | $0.00 | |
| D0140 | 218 | 200 | $0.00 | |
| D7140 | 22 | 14 | $0.00 | |
| D0230 | 546 | 207 | $0.00 | |
| D2392 | 454 | 236 | $0.00 | |
| D1351 | 41 | 12 | $0.00 | |
| D0210 | 21 | 21 | $0.00 | |
| D0330 | 40 | 40 | $0.00 | |
| D0220 | 414 | 385 | $0.00 | |
| D9230 | 87 | 78 | $0.00 | |
| D0145 | 33 | 31 | $0.00 |