NPI: 1912948175 · MUSKOGEE, OK 74403 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 892 | $34K |
| 2019 | 1,228 | $44K |
| 2020 | 187 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 257 | 257 | $27K | |
| 92004 | 148 | 148 | $19K | |
| 92015 | 579 | 579 | $10K | |
| 92340 | 332 | 332 | $10K | |
| V2100 | Lens spher single plano 4.00 | 353 | 351 | $10K |
| V2020 | Vision svcs frames purchases | 416 | 415 | $4K |
| 92082 | 77 | 77 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 46 | 46 | $1K |
| V2784 | Lens polycarb or equal | 99 | 99 | $0.00 |