OKLAHOMA KIDS PSYCHOLOGICAL SERVICE CENTER
NPI: 1194440073
· OKLAHOMA CITY, OK 73139
· Psychologist
· NPI assigned 10/04/2022
Provider Details
| Authorized Official | GOETZ, MIRACLE (LICENSED CLINICAL PSYCHOLOGIST) |
| NPI Enumeration Date | 10/04/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
281 |
$43K |
| 2024 |
250 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96113 |
|
151 |
108 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
130 |
129 |
$18K |
| 96112 |
|
68 |
68 |
$8K |
| 96133 |
|
12 |
12 |
$4K |
| 90785 |
|
170 |
151 |
$2K |