NPI: 1588779524 · ADA, OK 74820 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,822 | $108K |
| 2019 | 3,627 | $100K |
| 2020 | 2,893 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,521 | 1,521 | $45K | |
| D0120 | 1,998 | 1,998 | $41K | |
| D1110 | 865 | 865 | $38K | |
| D1208 | 2,249 | 2,249 | $33K | |
| D9230 | 1,027 | 847 | $27K | |
| D2391 | 451 | 247 | $26K | |
| D0274 | 511 | 511 | $15K | |
| D2150 | 159 | 103 | $14K | |
| D0272 | 670 | 670 | $12K | |
| D1351 | 433 | 182 | $10K | |
| D2392 | 98 | 49 | $7K | |
| D2140 | 100 | 51 | $6K | |
| D2930 | 50 | 25 | $6K | |
| D0150 | 124 | 124 | $4K | |
| D7140 | 53 | 25 | $3K | |
| D0220 | 33 | 33 | $478.83 |