NPI: 1952692451 · HAZEN, ND 58545 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,475 | $92K |
| 2019 | 944 | $31K |
| 2020 | 1,398 | $36K |
| 2021 | 2,068 | $78K |
| 2022 | 961 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 854 | 821 | $46K | |
| D1206 | 1,175 | 1,141 | $27K | |
| D2392 | 233 | 143 | $27K | |
| D0150 | 606 | 575 | $25K | |
| D0274 | 709 | 676 | $24K | |
| D0330 | 394 | 370 | $24K | |
| D0120 | 853 | 838 | $23K | |
| D1120 | 454 | 445 | $17K | |
| D0220 | 810 | 747 | $13K | |
| D1351 | 445 | 99 | $13K | |
| D0230 | 699 | 383 | $10K | |
| D2391 | 77 | 55 | $7K | |
| D1208 | 82 | 80 | $2K | |
| D0140 | 66 | 62 | $2K | |
| D0272 | 40 | 40 | $1K | |
| D1999 | 349 | 294 | $0.00 |