NPI: 1164042990 · SHAWNEE, OK 74801 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 155 | $4K |
| 2021 | 168 | $4K |
| 2022 | 1,487 | $105K |
| 2023 | 5,547 | $439K |
| 2024 | 4,230 | $252K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 3,404 | 651 | $397K | |
| D9223 | 439 | 409 | $122K | |
| D7140 | 1,148 | 440 | $74K | |
| D9310 | 876 | 846 | $42K | |
| D9222 | 430 | 407 | $33K | |
| D3220 | 336 | 166 | $29K | |
| D2390 | 131 | 49 | $27K | |
| D0220 | 1,225 | 1,181 | $18K | |
| D1120 | 490 | 475 | $12K | |
| D0240 | 564 | 527 | $10K | |
| D0272 | 558 | 532 | $9K | |
| D0230 | 1,015 | 533 | $7K | |
| D1206 | 500 | 485 | $7K | |
| D9230 | 122 | 116 | $3K | |
| D2391 | 47 | 27 | $3K | |
| D9248 | 19 | 13 | $3K | |
| D0120 | 166 | 158 | $2K | |
| D2330 | 36 | 26 | $2K | |
| D0140 | 52 | 51 | $1K | |
| D1351 | 29 | 12 | $658.53 |