NPI: 1942355722 · MOUNTAIN CITY, TN 37683 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,829 | $65K |
| 2019 | 5,248 | $101K |
| 2020 | 1,142 | $21K |
| 2021 | 714 | $15K |
| 2022 | 1,130 | $21K |
| 2023 | 833 | $14K |
| 2024 | 244 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 3,075 | 2,864 | $93K | |
| D1120 | 804 | 802 | $26K | |
| D1206 | 1,333 | 1,322 | $24K | |
| 99401 | 601 | 553 | $17K | |
| 99392 | 210 | 202 | $15K | |
| D0150 | 530 | 525 | $12K | |
| 96110 | 566 | 538 | $6K | |
| D0120 | 212 | 212 | $5K | |
| D1110 | 115 | 115 | $5K | |
| 99393 | 64 | 60 | $5K | |
| D0330 | 147 | 145 | $4K | |
| D0272 | 224 | 224 | $4K | |
| 92551 | 540 | 487 | $4K | |
| 90651 | 242 | 222 | $3K | |
| D0140 | 119 | 119 | $3K | |
| D0190 | 211 | 211 | $2K | |
| 0001A | 64 | 45 | $2K | |
| 96372 | 121 | 113 | $2K | |
| 96127 | 405 | 369 | $2K | |
| 81025 | 268 | 244 | $1K | |
| 99173 | 445 | 397 | $1K | |
| 99394 | 14 | 14 | $1K | |
| 90686 | 1,361 | 1,332 | $1K | |
| 99391 | 14 | 14 | $845.02 | |
| D0274 | 34 | 33 | $820.12 | |
| D0145 | 27 | 27 | $658.80 | |
| 90471 | 65 | 60 | $430.31 | |
| 99177 | 28 | 28 | $284.85 | |
| 90716 | 61 | 52 | $245.83 | |
| 85018 | 77 | 69 | $214.48 | |
| 36416 | 91 | 83 | $205.81 | |
| 83655 | 13 | 12 | $176.62 | |
| 90707 | 62 | 53 | $165.71 | |
| 90734 | 101 | 96 | $107.91 | |
| 90461 | 605 | 556 | $56.30 | |
| 90715 | 62 | 60 | $37.61 | |
| D1330 | 95 | 95 | $0.00 | |
| 90619 | 28 | 25 | $0.00 | |
| 90647 | 13 | 13 | $0.00 | |
| 90674 | 66 | 66 | $0.00 | |
| 90670 | 13 | 12 | $0.00 | |
| 90633 | 14 | 12 | $0.00 |