NPI: 1104195825 · EDMOND, OK 73013 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 268 | $9K |
| 2019 | 125 | $2K |
| 2020 | 298 | $7K |
| 2021 | 666 | $18K |
| 2022 | 1,009 | $28K |
| 2023 | 854 | $26K |
| 2024 | 238 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 316 | 316 | $34K | |
| 92340 | 540 | 536 | $16K | |
| 92015 | 887 | 887 | $16K | |
| 92004 | 87 | 87 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 329 | 325 | $9K |
| V2020 | Vision svcs frames purchases | 583 | 579 | $6K |
| V2100 | Lens spher single plano 4.00 | 98 | 98 | $3K |
| V2784 | Lens polycarb or equal | 618 | 614 | $0.00 |