NPI: 1992110704 · SPRINGFIELD, MO 65806 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,318 | $162K |
| 2019 | 1,507 | $67K |
| 2020 | 399 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 530 | 507 | $34K | |
| D1351 | 831 | 238 | $32K | |
| D2391 | 219 | 124 | $27K | |
| D0330 | 306 | 291 | $25K | |
| D1120 | 502 | 481 | $25K | |
| D1206 | 782 | 752 | $24K | |
| D2392 | 151 | 100 | $23K | |
| D0274 | 286 | 278 | $14K | |
| D1110 | 177 | 168 | $12K | |
| D0120 | 284 | 274 | $11K | |
| D0220 | 415 | 398 | $9K | |
| D0272 | 247 | 241 | $9K | |
| D0230 | 236 | 168 | $7K | |
| D1353 | 158 | 57 | $3K | |
| D0140 | 25 | 25 | $2K | |
| D0210 | 75 | 62 | $2K |