NPI: 1003096629 · URBANDALE, IA 50322 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,786 | $59K |
| 2019 | 1,089 | $20K |
| 2020 | 209 | $3K |
| 2021 | 277 | $5K |
| 2022 | 317 | $7K |
| 2023 | 175 | $3K |
| 2024 | 303 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,069 | 2,027 | $58K |
| V2100 | Lens spher single plano 4.00 | 783 | 771 | $18K |
| V2200 | Lens spher bifoc plano 4.00d | 201 | 197 | $7K |
| 92014 | 85 | 85 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 240 | 238 | $6K |
| V2756 | Eye glass case | 1,715 | 1,695 | $2K |
| 92004 | 16 | 16 | $2K | |
| 92002 | 13 | 13 | $633.38 | |
| 92015 | 34 | 34 | $0.00 |