NPI: 1922072123 · CHICKASHA, OK 73018 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,128 | $36K |
| 2019 | 826 | $30K |
| 2020 | 296 | $10K |
| 2021 | 329 | $8K |
| 2022 | 110 | $4K |
| 2023 | 74 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 404 | 404 | $42K | |
| 92340 | 600 | 591 | $18K | |
| 92015 | 644 | 643 | $11K | |
| V2100 | Lens spher single plano 4.00 | 304 | 297 | $7K |
| V2020 | Vision svcs frames purchases | 704 | 694 | $7K |
| 92004 | 54 | 54 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 41 | 40 | $739.35 |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |