NPI: 1962762633 · RAYTOWN, MO 64133 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,735 | $124K |
| 2019 | 2,371 | $76K |
| 2020 | 576 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 1,000 | 388 | $50K | |
| D2392 | 714 | 333 | $47K | |
| D0150 | 698 | 680 | $26K | |
| D1110 | 622 | 597 | $17K | |
| D0120 | 629 | 607 | $15K | |
| D0330 | 375 | 365 | $13K | |
| D1120 | 556 | 535 | $11K | |
| D1208 | 859 | 831 | $10K | |
| D0274 | 484 | 475 | $10K | |
| D1351 | 455 | 131 | $8K | |
| D2393 | 39 | 26 | $4K | |
| D7210 | 21 | 14 | $2K | |
| D0220 | 125 | 117 | $1K | |
| D0210 | 50 | 44 | $978.00 | |
| D0140 | 41 | 38 | $907.85 | |
| D0272 | 14 | 14 | $193.00 |