NPI: 1003060633 · CLOQUET, MN 55720 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 204 | $7K |
| 2020 | 1,610 | $62K |
| 2021 | 2,235 | $87K |
| 2022 | 2,775 | $106K |
| 2023 | 3,567 | $140K |
| 2024 | 2,631 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,516 | 1,495 | $134K | |
| V2784 | Lens polycarb or equal | 2,512 | 2,431 | $129K |
| V2020 | Vision svcs frames purchases | 2,569 | 2,463 | $93K |
| 92340 | 2,138 | 2,076 | $55K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,311 | 1,263 | $37K |
| 92004 | 362 | 352 | $36K | |
| 92015 | 2,197 | 2,158 | $29K | |
| 92341 | 219 | 210 | $7K | |
| V2100 | Lens spher single plano 4.00 | 156 | 147 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 42 | 39 | $1K |