NPI: 1508870437 · MOORE, OK 73160 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,910 | $70K |
| 2019 | 1,801 | $66K |
| 2020 | 1,180 | $43K |
| 2021 | 1,005 | $35K |
| 2022 | 1,386 | $36K |
| 2023 | 1,204 | $34K |
| 2024 | 247 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,131 | 1,131 | $123K | |
| 92340 | 1,537 | 1,528 | $46K | |
| V2100 | Lens spher single plano 4.00 | 1,520 | 1,520 | $42K |
| 92015 | 1,768 | 1,767 | $31K | |
| 92004 | 205 | 205 | $26K | |
| V2020 | Vision svcs frames purchases | 1,785 | 1,784 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 92 | 91 | $2K |
| V2784 | Lens polycarb or equal | 695 | 694 | $0.00 |