NPI: 1932683752 · GARDEN CITY, ID 83714 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 210 | $2K |
| 2020 | 1,267 | $24K |
| 2021 | 3,102 | $62K |
| 2022 | 1,099 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,029 | 1,027 | $42K | |
| D0330 | 243 | 243 | $19K | |
| D0150 | 499 | 499 | $15K | |
| D1110 | 216 | 214 | $14K | |
| D2392 | 152 | 98 | $12K | |
| D2391 | 36 | 28 | $2K | |
| D0210 | 15 | 15 | $2K | |
| D1351 | 69 | 12 | $312.45 | |
| D0120 | 699 | 696 | $196.28 | |
| D9230 | 361 | 326 | $96.54 | |
| D0272 | 812 | 812 | $15.87 | |
| D1208 | 1,203 | 1,200 | $13.55 | |
| D0220 | 42 | 39 | $0.00 | |
| D0274 | 164 | 163 | $0.00 | |
| D1206 | 138 | 138 | $0.00 |