NPI: 1487713822 · POTEAU, OK 74953 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,284 | $79K |
| 2019 | 1,857 | $64K |
| 2020 | 1,429 | $47K |
| 2021 | 1,305 | $46K |
| 2022 | 1,326 | $46K |
| 2023 | 831 | $24K |
| 2024 | 104 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,194 | 1,194 | $124K | |
| 92004 | 613 | 611 | $75K | |
| 92015 | 2,010 | 2,007 | $36K | |
| 92340 | 1,149 | 1,144 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 772 | 771 | $18K |
| V2020 | Vision svcs frames purchases | 1,567 | 1,559 | $16K |
| V2100 | Lens spher single plano 4.00 | 264 | 263 | $6K |
| V2784 | Lens polycarb or equal | 1,567 | 1,562 | $0.00 |