NPI: 1033185541 · MUSKOGEE, OK 74403 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,904 | $117K |
| 2019 | 2,985 | $105K |
| 2020 | 2,613 | $82K |
| 2021 | 3,284 | $127K |
| 2022 | 1,823 | $81K |
| 2024 | 286 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,748 | 1,747 | $181K | |
| 92004 | 1,056 | 1,056 | $132K | |
| 92340 | 2,304 | 2,248 | $70K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,711 | 1,669 | $45K |
| 92015 | 2,491 | 2,478 | $44K | |
| V2020 | Vision svcs frames purchases | 2,307 | 2,265 | $23K |
| 99214 | 161 | 160 | $14K | |
| V2100 | Lens spher single plano 4.00 | 267 | 260 | $7K |
| 92250 | 124 | 124 | $4K | |
| V2784 | Lens polycarb or equal | 1,726 | 1,676 | $0.00 |