NPI: 1356014997 · ADA, OK 74820 · 2085R0202X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 411 | $3K |
| 2022 | 1,598 | $33K |
| 2023 | 583 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | 204 | 198 | $13K | |
| 77067 | 223 | 223 | $7K | |
| 77063 | 207 | 207 | $5K | |
| 70450 | 239 | 235 | $5K | |
| 71045 | 1,087 | 985 | $5K | |
| 74176 | 99 | 97 | $5K | |
| 71046 | 359 | 354 | $3K | |
| 72148 | 25 | 25 | $1K | |
| 76705 | 40 | 40 | $792.49 | |
| 71275 | 13 | 13 | $771.28 | |
| 73630 | 43 | 39 | $248.18 | |
| 73562 | 15 | 13 | $97.84 | |
| 73030 | 13 | 13 | $85.92 | |
| 74018 | 12 | 12 | $71.75 | |
| 73610 | 13 | 12 | $67.85 |