NPI: 1982799326 · MONTGOMERY CITY, MO 63361 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,228 | $417K |
| 2019 | 5,430 | $285K |
| 2020 | 960 | $50K |
| 2021 | 460 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 597 | 449 | $108K | |
| D2391 | 601 | 467 | $92K | |
| D0330 | 750 | 738 | $76K | |
| D1206 | 1,654 | 1,621 | $69K | |
| D1120 | 1,180 | 1,154 | $62K | |
| D0150 | 892 | 878 | $62K | |
| D0120 | 1,138 | 1,116 | $46K | |
| D1110 | 613 | 607 | $46K | |
| D0230 | 1,576 | 1,360 | $45K | |
| D0220 | 1,810 | 1,773 | $43K | |
| D0274 | 775 | 767 | $39K | |
| D0272 | 810 | 798 | $32K | |
| D0140 | 284 | 280 | $21K | |
| D1351 | 281 | 83 | $13K | |
| D7140 | 25 | 12 | $4K | |
| D0210 | 79 | 77 | $3K | |
| D9230 | 13 | 13 | $923.00 |