NPI: 1952301475 · EDMOND, OK 73034 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,762 | $64K |
| 2019 | 1,336 | $47K |
| 2020 | 69 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 393 | 393 | $41K | |
| 92083 | 269 | 268 | $14K | |
| V2100 | Lens spher single plano 4.00 | 477 | 474 | $13K |
| 92250 | 268 | 268 | $13K | |
| 92015 | 518 | 516 | $9K | |
| 92342 | 227 | 226 | $8K | |
| V2020 | Vision svcs frames purchases | 484 | 481 | $5K |
| 92340 | 122 | 121 | $4K | |
| 92275 | 24 | 24 | $3K | |
| 92004 | 17 | 17 | $2K | |
| 92286 | 15 | 15 | $518.85 | |
| 76514 | 19 | 19 | $216.22 | |
| V2784 | Lens polycarb or equal | 334 | 333 | $0.00 |