NPI: 1669245577 · WAGONER, OK 74467 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 57 | $1K |
| 2024 | 4,610 | $186K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 453 | 155 | $55K | |
| D2393 | 149 | 54 | $26K | |
| D7210 | 102 | 27 | $14K | |
| D1110 | 287 | 267 | $13K | |
| D0330 | 224 | 210 | $11K | |
| D0220 | 700 | 644 | $11K | |
| D0120 | 494 | 465 | $11K | |
| D0274 | 306 | 284 | $10K | |
| D0150 | 307 | 284 | $10K | |
| D1206 | 507 | 480 | $9K | |
| D1120 | 289 | 270 | $9K | |
| D0230 | 630 | 531 | $5K | |
| D0272 | 106 | 95 | $2K | |
| D1351 | 65 | 13 | $1K | |
| D0140 | 35 | 30 | $970.15 | |
| D9230 | 13 | 12 | $329.28 |