NPI: 1154622363 · MUSKOGEE, OK 74403 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,617 | $107K |
| 2023 | 5,243 | $214K |
| 2024 | 3,053 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,592 | 1,592 | $168K | |
| 92004 | 1,169 | 1,169 | $149K | |
| 92340 | 1,651 | 1,643 | $50K | |
| 92015 | 1,988 | 1,983 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,180 | 1,173 | $32K |
| V2020 | Vision svcs frames purchases | 1,649 | 1,639 | $16K |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $334.80 |
| V2784 | Lens polycarb or equal | 1,672 | 1,659 | $0.00 |