NPI: 1043625072 · SAPULPA, OK 74066 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,542 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 403 | 403 | $11K | |
| D0120 | 514 | 514 | $10K | |
| D1208 | 552 | 552 | $8K | |
| D0330 | 125 | 125 | $6K | |
| D2392 | 64 | 32 | $5K | |
| D1110 | 120 | 120 | $5K | |
| D7140 | 60 | 33 | $4K | |
| D0274 | 105 | 105 | $3K | |
| D2930 | 24 | 12 | $3K | |
| D9230 | 106 | 103 | $3K | |
| D0272 | 145 | 145 | $2K | |
| D0140 | 85 | 84 | $2K | |
| D7210 | 17 | 13 | $2K | |
| D7111 | 32 | 24 | $2K | |
| D0220 | 122 | 120 | $2K | |
| D2391 | 27 | 14 | $2K | |
| D0150 | 17 | 17 | $479.40 | |
| D0230 | 24 | 21 | $169.20 |