NPI: 1922019587 · MUSKOGEE, OK 74403 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,039 | $29K |
| 2022 | 3,672 | $98K |
| 2023 | 4,163 | $108K |
| 2024 | 2,274 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,403 | 1,401 | $110K | |
| 92340 | 1,877 | 1,858 | $56K | |
| 92015 | 2,041 | 2,039 | $36K | |
| 92002 | 453 | 453 | $34K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,028 | 1,017 | $26K |
| V2020 | Vision svcs frames purchases | 1,837 | 1,820 | $18K |
| V2100 | Lens spher single plano 4.00 | 591 | 583 | $15K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 38 | 38 | $802.48 |
| V2784 | Lens polycarb or equal | 1,880 | 1,859 | $0.00 |