NPI: 1992719306 · OKMULGEE, OK 74447 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,958 | $118K |
| 2019 | 3,479 | $137K |
| 2020 | 3,685 | $132K |
| 2021 | 4,317 | $151K |
| 2022 | 5,059 | $184K |
| 2023 | 4,941 | $171K |
| 2024 | 3,136 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,446 | 4,445 | $465K | |
| 92004 | 1,382 | 1,382 | $175K | |
| 92340 | 4,605 | 4,600 | $131K | |
| 92015 | 5,581 | 5,577 | $99K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,754 | 2,749 | $67K |
| V2020 | Vision svcs frames purchases | 4,885 | 4,869 | $49K |
| V2100 | Lens spher single plano 4.00 | 564 | 563 | $13K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 36 | 36 | $725.40 |
| 99213 | 13 | 12 | $685.24 | |
| V2784 | Lens polycarb or equal | 3,309 | 3,308 | $0.00 |