NPI: 1942479811 · TOOELE, UT 84074 · 1223D0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,251 | $108K |
| 2019 | 1,503 | $48K |
| 2020 | 675 | $24K |
| 2021 | 927 | $34K |
| 2022 | 993 | $42K |
| 2023 | 341 | $9K |
| 2024 | 382 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | 1,082 | 969 | $98K | |
| D7140 | 1,620 | 560 | $73K | |
| D0120 | 455 | 414 | $48K | |
| D0150 | 271 | 224 | $27K | |
| D2150 | 241 | 111 | $13K | |
| D0220 | 1,942 | 1,742 | $10K | |
| D1110 | 328 | 293 | $5K | |
| D0330 | 42 | 41 | $2K | |
| D0230 | 1,445 | 1,309 | $2K | |
| D2160 | 19 | 13 | $1K | |
| D2331 | 27 | 13 | $1K | |
| D2140 | 33 | 25 | $892.44 | |
| D1206 | 61 | 54 | $0.00 | |
| D0274 | 436 | 373 | $0.00 | |
| D1120 | 70 | 65 | $0.00 |