NPI: 1174089478 · BROKEN BOW, OK 74728 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 462 | $29K |
| 2020 | 1,268 | $67K |
| 2021 | 2,744 | $93K |
| 2022 | 1,964 | $66K |
| 2023 | 2,453 | $86K |
| 2024 | 1,426 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,660 | 1,658 | $184K | |
| 92340 | 1,952 | 1,921 | $60K | |
| 92015 | 2,580 | 2,580 | $46K | |
| 92004 | 321 | 321 | $43K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,617 | 1,597 | $41K |
| V2020 | Vision svcs frames purchases | 2,058 | 2,044 | $21K |
| V2100 | Lens spher single plano 4.00 | 88 | 88 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 41 | 40 | $906.75 |