NPI: 1932194099 · MEXICO, MO 65265 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,799 | $77K |
| 2019 | 2,568 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 450 | 440 | $25K | |
| D1120 | 725 | 713 | $19K | |
| D0274 | 397 | 391 | $14K | |
| D1110 | 259 | 253 | $14K | |
| D1206 | 424 | 412 | $14K | |
| D0330 | 220 | 217 | $13K | |
| D0120 | 696 | 684 | $13K | |
| D0140 | 166 | 165 | $7K | |
| D2392 | 72 | 55 | $7K | |
| D2391 | 101 | 68 | $6K | |
| D0230 | 639 | 217 | $5K | |
| D0220 | 396 | 388 | $5K | |
| D1351 | 170 | 57 | $5K | |
| D0272 | 183 | 180 | $903.00 | |
| D0210 | 28 | 27 | $639.00 | |
| D1208 | 441 | 433 | $239.00 |