NPI: 1982991329 · POLSON, MT 59860 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,022 | $34K |
| 2019 | 1,054 | $35K |
| 2020 | 1,344 | $50K |
| 2021 | 2,225 | $88K |
| 2022 | 4,154 | $200K |
| 2023 | 4,164 | $212K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,300 | 720 | $173K | |
| D0120 | 2,953 | 2,882 | $74K | |
| D1110 | 1,418 | 1,375 | $71K | |
| D1120 | 1,808 | 1,769 | $67K | |
| D2740 | 56 | 53 | $37K | |
| D1208 | 1,855 | 1,820 | $35K | |
| D2391 | 420 | 301 | $31K | |
| D0274 | 776 | 757 | $27K | |
| D1206 | 1,275 | 1,235 | $27K | |
| D0150 | 590 | 564 | $20K | |
| D2393 | 73 | 55 | $13K | |
| D0272 | 523 | 515 | $12K | |
| D0140 | 330 | 313 | $10K | |
| D0210 | 107 | 107 | $7K | |
| D7140 | 74 | 27 | $5K | |
| D0240 | 122 | 62 | $3K | |
| D1351 | 84 | 29 | $2K | |
| D0220 | 130 | 127 | $2K | |
| D9230 | 42 | 39 | $1K | |
| D4910 | 12 | 12 | $780.56 | |
| D0600 | 15 | 15 | $0.00 |