NPI: 1376562637 · SALLISAW, OK 74955 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,479 | $66K |
| 2019 | 3,485 | $104K |
| 2020 | 3,570 | $102K |
| 2021 | 4,150 | $111K |
| 2022 | 5,321 | $158K |
| 2023 | 3,576 | $108K |
| 2024 | 2,281 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,447 | 851 | $137K | |
| D1110 | 1,963 | 1,954 | $81K | |
| D2391 | 1,212 | 652 | $68K | |
| D9230 | 2,405 | 2,226 | $59K | |
| D1206 | 3,800 | 3,781 | $59K | |
| D1120 | 1,800 | 1,794 | $52K | |
| D0330 | 1,066 | 1,064 | $49K | |
| D0140 | 1,442 | 1,412 | $42K | |
| D0120 | 1,993 | 1,984 | $38K | |
| D0220 | 2,342 | 2,180 | $33K | |
| D0272 | 1,672 | 1,661 | $28K | |
| D7140 | 385 | 195 | $25K | |
| D0150 | 741 | 741 | $21K | |
| D0230 | 2,091 | 1,014 | $15K | |
| D0274 | 292 | 292 | $8K | |
| D2393 | 37 | 24 | $5K | |
| D0350 | 93 | 93 | $3K | |
| D1351 | 64 | 25 | $1K | |
| D7111 | 17 | 13 | $983.50 |