NPI: 1316067606 · SHAWNEE, OK 74804 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 936 | $14K |
| 2019 | 1,047 | $15K |
| 2020 | 854 | $13K |
| 2021 | 828 | $13K |
| 2022 | 965 | $15K |
| 2023 | 805 | $13K |
| 2024 | 60 | $789.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,411 | 1,403 | $43K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 874 | 862 | $23K |
| V2020 | Vision svcs frames purchases | 1,487 | 1,477 | $15K |
| V2100 | Lens spher single plano 4.00 | 118 | 117 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 15 | $418.50 |
| V2784 | Lens polycarb or equal | 1,590 | 1,567 | $0.00 |