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ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
NPI: 1124152962
· NORMAN, OK 73026
· Clinic/Center
· NPI assigned 03/15/2007
$31.06M
Total Medicaid Paid
Provider Details
| Authorized Official | LOFGREN, MARTY (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 03/15/2007 |
Related Entities
Other providers sharing the same authorized official: LOFGREN, MARTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,444 |
$617K |
| 2019 |
2,906 |
$1.32M |
| 2020 |
4,199 |
$1.99M |
| 2021 |
8,758 |
$4.54M |
| 2022 |
14,026 |
$8.97M |
| 2023 |
13,581 |
$8.81M |
| 2024 |
6,679 |
$4.80M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,537 |
45,224 |
$31.05M |
| D1120 |
Prophylaxis - child |
16 |
16 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$479.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
23 |
$0.00 |