NPI: 1336605633 · IDABEL, OK 74745 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 154 | $9K |
| 2020 | 695 | $34K |
| 2021 | 2,112 | $75K |
| 2022 | 2,823 | $107K |
| 2023 | 2,162 | $85K |
| 2024 | 1,239 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,317 | 1,317 | $145K | |
| 92004 | 552 | 552 | $71K | |
| 92340 | 1,623 | 1,620 | $50K | |
| 92015 | 2,401 | 2,400 | $43K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 749 | 746 | $19K |
| V2020 | Vision svcs frames purchases | 1,735 | 1,732 | $17K |
| V2100 | Lens spher single plano 4.00 | 461 | 459 | $12K |
| 99213 | 162 | 160 | $6K | |
| 92250 | 171 | 169 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 14 | 14 | $306.90 |