NPI: 1942618194 · DEXTER, MO 63841 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,053 | $369K |
| 2019 | 6,657 | $337K |
| 2020 | 1,720 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | 3,057 | 3,006 | $118K | |
| D1120 | 2,217 | 2,175 | $112K | |
| D2392 | 566 | 427 | $108K | |
| D0330 | 1,002 | 986 | $95K | |
| D1110 | 972 | 961 | $74K | |
| D0120 | 1,647 | 1,623 | $66K | |
| D0274 | 934 | 928 | $46K | |
| D0272 | 1,328 | 1,311 | $43K | |
| D0150 | 630 | 617 | $40K | |
| D2391 | 282 | 229 | $35K | |
| D7140 | 282 | 170 | $33K | |
| D0140 | 277 | 264 | $17K | |
| D1351 | 92 | 17 | $5K | |
| D0220 | 144 | 142 | $4K |