SSM HEALTHCARE OF OKLAHOMA INC
NPI: 1023297991
· OKLAHOMA CITY, OK 73102
· Obstetrics & Gynecology Physician
· NPI assigned 10/29/2007
$250.59
Total Medicaid Paid
Provider Details
| Authorized Official | BAIN, SYNOVIA (CLIENT ACCOUNT ADMINISTRATOR) |
| Parent Organization | SSM HEALTHCARE OF OKLAHOMA INC |
| NPI Enumeration Date | 10/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
14 |
$250.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$250.59 |