NPI: 1184684011 · GROVE, OK 74344 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 933 | $13K |
| 2022 | 4,376 | $72K |
| 2023 | 5,380 | $85K |
| 2024 | 3,287 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 860 | 850 | $57K | |
| 74176 | 630 | 629 | $38K | |
| 70450 | 1,122 | 1,088 | $29K | |
| 71045 | 4,166 | 3,655 | $22K | |
| 76805 | 309 | 309 | $13K | |
| 71046 | 1,223 | 1,205 | $10K | |
| 76705 | 322 | 319 | $7K | |
| 73562 | 868 | 849 | $6K | |
| 73630 | 826 | 806 | $6K | |
| 73610 | 784 | 764 | $5K | |
| 73130 | 717 | 694 | $5K | |
| 77067 | 165 | 165 | $5K | |
| 73110 | 643 | 609 | $5K | |
| 77063 | 165 | 165 | $4K | |
| 72125 | 110 | 107 | $4K | |
| 73030 | 576 | 567 | $4K | |
| 72100 | 242 | 242 | $2K | |
| 73080 | 103 | 101 | $716.50 | |
| 72148 | 12 | 12 | $646.02 | |
| 74018 | 65 | 64 | $449.70 | |
| 72040 | 29 | 29 | $237.46 | |
| 76536 | 12 | 12 | $234.68 | |
| 73090 | 14 | 13 | $100.53 | |
| 73502 | 13 | 13 | $90.80 |