NPI: 1386281186 · EDMOND, OK 73034 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 235 | $8K |
| 2022 | 1,341 | $45K |
| 2023 | 1,129 | $34K |
| 2024 | 554 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 369 | 369 | $41K | |
| 92340 | 574 | 546 | $17K | |
| V2100 | Lens spher single plano 4.00 | 445 | 422 | $12K |
| 92004 | 63 | 63 | $8K | |
| 92015 | 459 | 456 | $8K | |
| V2020 | Vision svcs frames purchases | 516 | 492 | $5K |
| 99213 | 61 | 61 | $5K | |
| 92286 | 67 | 67 | $2K | |
| 92025 | 55 | 55 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 49 | 47 | $1K |
| 76514 | 54 | 54 | $536.54 | |
| V2784 | Lens polycarb or equal | 547 | 520 | $0.00 |