NPI: 1336136134 · ALTUS, OK 73521 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,392 | $72K |
| 2019 | 2,573 | $77K |
| 2020 | 1,899 | $57K |
| 2021 | 1,833 | $51K |
| 2022 | 1,836 | $54K |
| 2023 | 1,782 | $53K |
| 2024 | 244 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,557 | 1,557 | $151K | |
| 92340 | 2,195 | 2,192 | $67K | |
| 92004 | 500 | 500 | $47K | |
| 92015 | 2,344 | 2,344 | $42K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,602 | 1,601 | $41K |
| V2020 | Vision svcs frames purchases | 2,191 | 2,188 | $22K |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $195.30 |
| V2784 | Lens polycarb or equal | 2,158 | 2,156 | $0.00 |