NPI: 1376523639 · VINITA, OK 74301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 881 | $23K |
| 2019 | 988 | $30K |
| 2020 | 675 | $21K |
| 2021 | 644 | $17K |
| 2022 | 599 | $15K |
| 2023 | 388 | $13K |
| 2024 | 12 | $254.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 367 | 367 | $33K | |
| 92004 | 206 | 206 | $24K | |
| 92340 | 694 | 694 | $21K | |
| 92015 | 716 | 716 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 479 | 478 | $12K |
| V2020 | Vision svcs frames purchases | 729 | 729 | $7K |
| 99213 | 107 | 107 | $4K | |
| 92250 | 142 | 142 | $2K | |
| 99214 | 16 | 16 | $2K | |
| V2784 | Lens polycarb or equal | 731 | 731 | $0.00 |