NPI: 1952501389 · PRESCOTT, AZ 86305 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,169 | $26K |
| 2023 | 4,642 | $173K |
| 2024 | 3,274 | $232K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,320 | 2,576 | $381K |
| 90471 | 1,279 | 1,217 | $22K | |
| 90472 | 795 | 739 | $21K | |
| 0134A | 34 | 30 | $2K | |
| 90651 | 74 | 74 | $2K | |
| 90739 | 13 | 13 | $2K | |
| 90686 | 94 | 92 | $1K | |
| 90715 | 54 | 54 | $377.85 | |
| 90480 | 13 | 12 | $284.56 | |
| 90656 | 13 | 13 | $268.20 | |
| 90713 | 12 | 12 | $14.96 | |
| D0220 | 885 | 741 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| D1110 | 498 | 434 | $0.00 | |
| D0274 | 79 | 66 | $0.00 | |
| D2391 | 42 | 27 | $0.00 | |
| D0601 | 238 | 167 | $0.00 | |
| D0140 | 770 | 648 | $0.00 | |
| D0150 | 179 | 157 | $0.00 | |
| D7140 | 356 | 209 | $0.00 | |
| D0120 | 115 | 98 | $0.00 | |
| D0210 | 157 | 147 | $0.00 | |
| 90619 | 39 | 39 | $0.00 | |
| D2392 | 14 | 14 | $0.00 |