NPI: 1831383793 · ELK CITY, OK 73644 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,876 | $89K |
| 2019 | 3,029 | $98K |
| 2020 | 3,121 | $107K |
| 2021 | 3,755 | $125K |
| 2022 | 3,802 | $125K |
| 2023 | 3,423 | $112K |
| 2024 | 880 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,497 | 3,497 | $381K | |
| 92340 | 3,214 | 3,212 | $96K | |
| 92015 | 4,716 | 4,715 | $84K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,208 | 2,202 | $54K |
| V2020 | Vision svcs frames purchases | 3,499 | 3,492 | $35K |
| 92004 | 262 | 262 | $34K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 28 | 28 | $571.95 |
| V2100 | Lens spher single plano 4.00 | 15 | 15 | $320.85 |
| V2784 | Lens polycarb or equal | 3,447 | 3,441 | $0.00 |