NPI: 1124309216 · SAPULPA, OK 74066 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,685 | $268K |
| 2019 | 8,571 | $274K |
| 2020 | 5,220 | $162K |
| 2021 | 2,079 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,628 | 746 | $145K | |
| D1120 | 2,644 | 2,644 | $78K | |
| D0120 | 3,459 | 3,459 | $71K | |
| D1110 | 1,265 | 1,265 | $56K | |
| D1208 | 3,740 | 3,740 | $55K | |
| D2393 | 400 | 179 | $48K | |
| D3220 | 497 | 107 | $43K | |
| D9230 | 1,623 | 1,479 | $43K | |
| D0274 | 1,174 | 1,174 | $34K | |
| D2930 | 287 | 64 | $34K | |
| D2391 | 483 | 217 | $28K | |
| D0220 | 1,781 | 1,762 | $26K | |
| D0140 | 661 | 641 | $19K | |
| D0230 | 2,475 | 1,214 | $18K | |
| D0150 | 471 | 471 | $14K | |
| D0272 | 749 | 749 | $13K | |
| D7140 | 201 | 116 | $13K | |
| D0330 | 232 | 232 | $11K | |
| D0240 | 615 | 614 | $11K | |
| D3120 | 103 | 45 | $3K | |
| D1351 | 40 | 12 | $929.60 | |
| D0145 | 27 | 27 | $772.45 |