NPI: 1124555701 · WOODWARD, OK 73801 · Dentist · NPI assigned 05/15/2017
| Authorized Official | OLIVE, MYSHAL (OWNER) |
| NPI Enumeration Date | 05/15/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,021 | $43K |
| 2019 | 1,232 | $25K |
| 2020 | 1,454 | $26K |
| 2021 | 2,611 | $48K |
| 2022 | 2,345 | $47K |
| 2023 | 1,980 | $36K |
| 2024 | 224 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,895 | 1,886 | $54K | |
| D0120 | 2,183 | 2,172 | $44K | |
| D1110 | 835 | 835 | $36K | |
| D0220 | 1,662 | 1,654 | $24K | |
| D0230 | 2,848 | 1,445 | $20K | |
| D0274 | 663 | 663 | $19K | |
| D1208 | 662 | 662 | $9K | |
| D1206 | 491 | 491 | $8K | |
| D2392 | 52 | 38 | $5K | |
| D0330 | 86 | 86 | $4K | |
| D0150 | 85 | 85 | $2K | |
| D0602 | 234 | 234 | $2K | |
| D0272 | 80 | 80 | $1K | |
| D9110 | 17 | 15 | $1K | |
| D0603 | 45 | 45 | $402.60 | |
| D0140 | 12 | 12 | $338.40 | |
| D0601 | 17 | 17 | $155.55 |