NPI: 1447424676 · MOORE, OK 73160 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,869 | $33K |
| 2019 | 1,950 | $32K |
| 2020 | 2,115 | $34K |
| 2021 | 1,916 | $30K |
| 2022 | 1,817 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,489 | 2,474 | $76K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,578 | 1,562 | $36K |
| V2020 | Vision svcs frames purchases | 2,505 | 2,494 | $25K |
| V2100 | Lens spher single plano 4.00 | 862 | 858 | $19K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 24 | $460.35 |
| V2784 | Lens polycarb or equal | 2,209 | 2,203 | $0.00 |