NPI: 1801176177 · POTEAU, OK 74953 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 385 | $9K |
| 2022 | 1,888 | $49K |
| 2023 | 1,974 | $53K |
| 2024 | 854 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 554 | 554 | $40K | |
| 92340 | 881 | 880 | $26K | |
| 92002 | 270 | 270 | $20K | |
| 92015 | 1,112 | 1,112 | $20K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 503 | 503 | $14K |
| V2020 | Vision svcs frames purchases | 883 | 882 | $9K |
| 92014 | 13 | 13 | $1K | |
| 92004 | 12 | 12 | $1K | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $334.80 |
| V2784 | Lens polycarb or equal | 861 | 860 | $0.00 |