DDSI SOUTH AEC LLC
NPI: 1043253263
· OKLAHOMA CITY, OK 73109
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/14/2006
$442K
Total Medicaid Paid
Provider Details
| Authorized Official | MOCK, DIANA (DIRECTOR) |
| NPI Enumeration Date | 06/14/2006 |
Related Entities
Other providers sharing the same authorized official: MOCK, DIANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
814 |
$141K |
| 2019 |
821 |
$153K |
| 2020 |
657 |
$136K |
| 2021 |
51 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,017 |
1,017 |
$169K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
588 |
587 |
$143K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
425 |
423 |
$76K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
300 |
295 |
$53K |
| 43248 |
|
13 |
13 |
$2K |