NPI: 1972597276 · TAHLEQUAH, OK 74464 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,738 | $45K |
| 2019 | 1,675 | $39K |
| 2020 | 1,117 | $26K |
| 2021 | 1,398 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,033 | 1,033 | $29K | |
| D0120 | 1,268 | 1,268 | $25K | |
| D1208 | 1,488 | 1,488 | $21K | |
| D2393 | 170 | 61 | $18K | |
| D9230 | 608 | 527 | $15K | |
| D1110 | 257 | 257 | $10K | |
| D7140 | 134 | 66 | $9K | |
| D0330 | 123 | 123 | $6K | |
| D0272 | 291 | 291 | $5K | |
| D0220 | 275 | 264 | $4K | |
| D0140 | 130 | 125 | $4K | |
| D7210 | 29 | 13 | $4K | |
| D2392 | 26 | 12 | $2K | |
| D0274 | 52 | 52 | $1K | |
| D0150 | 44 | 44 | $1K |