NPI: 1942646781 · ALICE, TX 78332 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,785 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0145 | 62 | 57 | $7K | |
| D1110 | 129 | 124 | $6K | |
| D0120 | 218 | 212 | $5K | |
| D0330 | 115 | 113 | $5K | |
| D1120 | 135 | 132 | $4K | |
| D0274 | 123 | 118 | $4K | |
| D1208 | 257 | 249 | $3K | |
| D0272 | 123 | 119 | $2K | |
| D1351 | 93 | 13 | $2K | |
| D2392 | 18 | 12 | $2K | |
| D0150 | 52 | 48 | $1K | |
| D0220 | 76 | 70 | $643.08 | |
| D0230 | 71 | 41 | $369.54 | |
| D0601 | 252 | 245 | $0.00 | |
| D0602 | 12 | 12 | $0.00 | |
| D0603 | 49 | 47 | $0.00 |