NPI: 1750406997 · NORMAN, OK 73069 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 581 | $18K |
| 2023 | 1,489 | $40K |
| 2024 | 416 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 248 | 248 | $27K | |
| 92340 | 405 | 405 | $12K | |
| V2100 | Lens spher single plano 4.00 | 325 | 325 | $9K |
| 92015 | 440 | 440 | $8K | |
| 92004 | 43 | 43 | $6K | |
| V2020 | Vision svcs frames purchases | 430 | 430 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 134 | 134 | $4K |
| V2784 | Lens polycarb or equal | 461 | 461 | $0.00 |