NPI: 1942741681 · POCATELLO, ID 83201 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,436 | $366K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,701 | 1,701 | $109K | |
| D2930 | 673 | 256 | $66K | |
| D1110 | 544 | 544 | $52K | |
| D2391 | 493 | 330 | $24K | |
| D7140 | 519 | 278 | $23K | |
| D0150 | 294 | 294 | $22K | |
| D2392 | 279 | 218 | $21K | |
| D0210 | 138 | 138 | $18K | |
| D0330 | 332 | 332 | $18K | |
| D1351 | 2,263 | 611 | $6K | |
| D0140 | 225 | 223 | $6K | |
| D0274 | 555 | 555 | $404.57 | |
| D9420 | 48 | 48 | $367.71 | |
| D2330 | 18 | 12 | $289.74 | |
| D9230 | 842 | 783 | $134.20 | |
| D0272 | 1,437 | 1,437 | $114.68 | |
| D0120 | 1,967 | 1,967 | $87.63 | |
| D0220 | 1,149 | 1,125 | $27.66 | |
| D1208 | 2,151 | 2,151 | $0.00 | |
| D0230 | 808 | 657 | $0.00 |