NPI: 1992848956 · WEST JORDAN, UT 84084 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,266 | $602K |
| 2019 | 26,113 | $781K |
| 2020 | 14,408 | $455K |
| 2021 | 9,011 | $285K |
| 2022 | 8,170 | $238K |
| 2023 | 10,097 | $307K |
| 2024 | 8,675 | $280K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 17,617 | 17,195 | $1.45M | |
| D0220 | 3,208 | 3,056 | $206K | |
| D0150 | 2,116 | 2,012 | $196K | |
| D2150 | 4,203 | 2,202 | $169K | |
| D1351 | 4,849 | 1,120 | $162K | |
| D1120 | 18,024 | 17,511 | $146K | |
| D0272 | 16,161 | 15,702 | $145K | |
| D1206 | 17,855 | 17,459 | $80K | |
| D2392 | 1,143 | 639 | $79K | |
| D2140 | 2,299 | 1,365 | $78K | |
| D7140 | 1,672 | 927 | $52K | |
| D0140 | 705 | 666 | $29K | |
| D0330 | 1,452 | 1,419 | $26K | |
| D9420 | 123 | 120 | $24K | |
| D2391 | 408 | 251 | $24K | |
| D1110 | 1,835 | 1,787 | $21K | |
| D2930 | 935 | 292 | $17K | |
| D0274 | 411 | 411 | $15K | |
| D2160 | 255 | 179 | $11K | |
| D2332 | 208 | 97 | $5K | |
| D0230 | 1,755 | 1,673 | $5K | |
| D3220 | 156 | 90 | $4K | |
| D9230 | 38 | 32 | $3K | |
| D1510 | 41 | 24 | $1K | |
| D1208 | 1,271 | 1,204 | $309.40 |