NPI: 1265884167 · SHAWNEE, OK 74804 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,547 | $134K |
| 2019 | 3,425 | $106K |
| 2020 | 248 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | 705 | 434 | $61K | |
| D1120 | 1,087 | 1,087 | $31K | |
| D0120 | 1,392 | 1,392 | $28K | |
| D9230 | 1,021 | 834 | $25K | |
| D1206 | 1,598 | 1,598 | $23K | |
| D1110 | 516 | 516 | $22K | |
| D7140 | 237 | 129 | $15K | |
| D0140 | 298 | 297 | $8K | |
| D0274 | 261 | 261 | $7K | |
| D0220 | 463 | 462 | $7K | |
| D0272 | 374 | 374 | $6K | |
| D2140 | 80 | 62 | $5K | |
| D0150 | 157 | 157 | $4K | |
| D2160 | 31 | 25 | $3K |