NPI: 1982143095 · BROKEN ARROW, OK 74012 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,052 | $26K |
| 2019 | 1,327 | $34K |
| 2020 | 942 | $22K |
| 2021 | 1,218 | $42K |
| 2022 | 1,297 | $46K |
| 2023 | 1,215 | $46K |
| 2024 | 157 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 667 | 667 | $74K | |
| 92004 | 369 | 369 | $48K | |
| 92340 | 1,378 | 1,376 | $42K | |
| 92015 | 1,673 | 1,673 | $30K | |
| V2020 | Vision svcs frames purchases | 1,440 | 1,436 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 414 | 412 | $10K |
| V2100 | Lens spher single plano 4.00 | 238 | 238 | $6K |
| V2102 | Singl visn sphere 7.12-20.00 | 12 | 12 | $334.80 |
| V2784 | Lens polycarb or equal | 1,017 | 1,014 | $0.00 |