NPI: 1699935676 · TULSA, OK 74145 · Preferred Provider Organization · NPI assigned 06/12/2008
| Authorized Official | CONNAUGHTON, MARY (OFFICE MANAGER) |
| NPI Enumeration Date | 06/12/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $243.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $243.96 |