NPI: 1710999420 · WAGONER, OK 74467 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,822 | $68K |
| 2019 | 2,770 | $71K |
| 2020 | 2,297 | $57K |
| 2021 | 3,311 | $87K |
| 2022 | 4,021 | $113K |
| 2023 | 3,170 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,102 | 2,102 | $94K | |
| D0120 | 3,844 | 3,843 | $79K | |
| D1120 | 2,189 | 2,189 | $65K | |
| D0330 | 1,132 | 1,132 | $54K | |
| D1208 | 3,553 | 3,553 | $53K | |
| D0274 | 1,178 | 1,178 | $35K | |
| D9230 | 980 | 900 | $26K | |
| D0272 | 1,238 | 1,238 | $22K | |
| D0140 | 506 | 505 | $15K | |
| D2150 | 141 | 90 | $15K | |
| D0220 | 931 | 926 | $14K | |
| D0150 | 398 | 398 | $12K | |
| D0230 | 179 | 130 | $1K | |
| D2140 | 20 | 14 | $1K |