NPI: 1972832616 · RIVERTON, WY 82501 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,563 | $60K |
| 2019 | 1,086 | $39K |
| 2020 | 587 | $21K |
| 2021 | 1,129 | $34K |
| 2022 | 1,268 | $41K |
| 2023 | 1,040 | $36K |
| 2024 | 717 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,507 | 2,344 | $75K | |
| D1206 | 1,645 | 1,604 | $56K | |
| D1120 | 1,222 | 1,211 | $41K | |
| D1110 | 572 | 553 | $28K | |
| D2392 | 247 | 131 | $24K | |
| D0274 | 375 | 375 | $12K | |
| D7140 | 87 | 38 | $6K | |
| D2391 | 37 | 25 | $3K | |
| D0140 | 71 | 70 | $3K | |
| D0150 | 78 | 77 | $3K | |
| D0272 | 109 | 108 | $2K | |
| D9230 | 67 | 55 | $2K | |
| D0220 | 118 | 117 | $2K | |
| D1330 | 230 | 229 | $2K | |
| D0330 | 25 | 25 | $1K |