NPI: 1528466836 · SALLISAW, OK 74955 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,212 | $31K |
| 2019 | 719 | $23K |
| 2020 | 1,188 | $40K |
| 2021 | 1,490 | $44K |
| 2022 | 1,198 | $35K |
| 2023 | 1,391 | $40K |
| 2024 | 971 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 742 | 742 | $81K | |
| 92340 | 1,414 | 1,408 | $43K | |
| 92004 | 309 | 309 | $41K | |
| 92015 | 1,716 | 1,715 | $30K | |
| V2020 | Vision svcs frames purchases | 1,508 | 1,507 | $15K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 543 | 543 | $13K |
| V2100 | Lens spher single plano 4.00 | 476 | 476 | $12K |
| 99213 | 58 | 46 | $4K | |
| V2784 | Lens polycarb or equal | 1,403 | 1,401 | $0.00 |