NPI: 1174901102 · LAWTON, OK 73505 · Pediatrics Physician · NPI assigned 05/11/2015
Authorized official SMITH, BRENT controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, BRENT (CFO) |
| NPI Enumeration Date | 05/11/2015 |
Other providers sharing the same authorized official: SMITH, BRENT
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,235 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 130 | 130 | $11K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 170 | 156 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 120 | 118 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 146 | 146 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 203 | 203 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 68 | 65 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 208 | 208 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $1K |
| 90474 | 40 | 40 | $661.44 | |
| 90670 | 50 | 50 | $647.22 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 19 | 19 | $299.16 |
| 90723 | 12 | 12 | $263.56 | |
| 90686 | 20 | 20 | $33.14 | |
| 90648 | 25 | 25 | $29.40 | |
| 90634 | 12 | 12 | $0.12 |