NPI: 1639494149 · MIDWEST CITY, OK 73110 · 1223E0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,254 | $810K |
| 2019 | 21,339 | $586K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 6,802 | 6,802 | $195K | |
| D2392 | 1,888 | 1,372 | $168K | |
| D1351 | 4,766 | 1,499 | $110K | |
| D0120 | 5,362 | 5,362 | $108K | |
| D2930 | 924 | 671 | $105K | |
| D2391 | 1,811 | 1,346 | $104K | |
| D0150 | 2,792 | 2,792 | $80K | |
| D1208 | 5,107 | 5,107 | $73K | |
| D9230 | 2,746 | 2,537 | $71K | |
| D0330 | 1,514 | 1,514 | $70K | |
| D1110 | 1,367 | 1,367 | $59K | |
| D0220 | 3,566 | 3,525 | $51K | |
| D0272 | 2,667 | 2,667 | $46K | |
| D1206 | 3,028 | 3,028 | $43K | |
| D7140 | 475 | 379 | $30K | |
| D0274 | 962 | 962 | $28K | |
| D0230 | 2,914 | 2,863 | $21K | |
| D0140 | 718 | 704 | $21K | |
| D7111 | 103 | 83 | $6K | |
| D3220 | 46 | 37 | $4K | |
| D2393 | 16 | 12 | $2K | |
| D2330 | 19 | 12 | $1K |