NPI: 1386658904 · BROKEN BOW, OK 74728 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,441 | $237K |
| 2019 | 7,270 | $210K |
| 2020 | 5,865 | $174K |
| 2021 | 3,658 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 5,500 | 5,500 | $113K | |
| D1120 | 3,783 | 3,783 | $111K | |
| D1110 | 2,248 | 2,248 | $99K | |
| D2392 | 1,064 | 820 | $97K | |
| D1208 | 5,969 | 5,969 | $88K | |
| D0330 | 1,332 | 1,332 | $63K | |
| D2391 | 896 | 666 | $53K | |
| D0274 | 1,177 | 1,177 | $35K | |
| D0272 | 1,483 | 1,483 | $26K | |
| D0220 | 1,026 | 1,004 | $15K | |
| D7140 | 216 | 162 | $14K | |
| D0140 | 276 | 276 | $8K | |
| D0150 | 106 | 106 | $3K | |
| D1351 | 100 | 26 | $2K | |
| D0145 | 40 | 40 | $1K | |
| D2330 | 18 | 14 | $1K |