NPI: 1992862197 · JEFFERSON CITY, MO 65101 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,321 | $745K |
| 2019 | 4,407 | $684K |
| 2020 | 951 | $143K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,991 | 649 | $379K | |
| D2930 | 1,654 | 548 | $356K | |
| D9420 | 854 | 836 | $212K | |
| D2332 | 742 | 327 | $149K | |
| D7140 | 707 | 299 | $105K | |
| D2391 | 514 | 232 | $79K | |
| D2335 | 225 | 102 | $59K | |
| D3220 | 278 | 159 | $47K | |
| D0230 | 693 | 310 | $46K | |
| D2393 | 152 | 97 | $34K | |
| D1120 | 366 | 362 | $21K | |
| D9310 | 140 | 121 | $16K | |
| D0274 | 247 | 245 | $14K | |
| D0220 | 390 | 379 | $12K | |
| D1206 | 279 | 277 | $10K | |
| D2330 | 86 | 51 | $9K | |
| D0171 | 126 | 124 | $7K | |
| D0150 | 98 | 97 | $7K | |
| D0210 | 106 | 96 | $6K | |
| D0120 | 31 | 31 | $2K |