NPI: 1386380178 · ADA, OK 74820 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,381 | $602K |
| 2023 | 9,562 | $1.35M |
| 2024 | 3,632 | $535K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 10,587 | 9,389 | $2.49M |
| 99213 | 5,193 | 4,808 | $0.00 | |
| 99214 | 1,172 | 1,136 | $0.00 | |
| 99381 | 12 | 12 | $0.00 | |
| 87635 | 13 | 13 | $0.00 | |
| 90677 | 13 | 13 | $0.00 | |
| 87426 | 17 | 17 | $0.00 | |
| 99391 | 258 | 256 | $0.00 | |
| 90460 | 13 | 13 | $0.00 | |
| 99392 | 230 | 230 | $0.00 | |
| 99394 | 15 | 15 | $0.00 | |
| 99203 | 39 | 39 | $0.00 | |
| 99393 | 13 | 13 | $0.00 |