NPI: 1881232593 · WAGONER, OK 74467 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,074 | $42K |
| 2021 | 1,312 | $48K |
| 2022 | 1,641 | $63K |
| 2023 | 1,840 | $73K |
| 2024 | 907 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 850 | 850 | $108K | |
| 92014 | 572 | 572 | $59K | |
| 92340 | 1,119 | 1,116 | $34K | |
| 92015 | 1,139 | 1,138 | $20K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 481 | 480 | $12K |
| V2020 | Vision svcs frames purchases | 1,121 | 1,118 | $11K |
| V2101 | Single visn sphere 4.12-7.00 | 286 | 286 | $8K |
| 92250 | 56 | 56 | $2K | |
| V2100 | Lens spher single plano 4.00 | 27 | 27 | $641.70 |
| V2784 | Lens polycarb or equal | 1,123 | 1,120 | $0.00 |