NPI: 1003950122 · SPEARFISH, SD 57783 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 221 | $15K |
| 2019 | 132 | $9K |
| 2020 | 118 | $5K |
| 2021 | 229 | $9K |
| 2022 | 579 | $24K |
| 2023 | 392 | $13K |
| 2024 | 273 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 522 | 458 | $44K | |
| V2020 | Vision svcs frames purchases | 299 | 249 | $16K |
| V2199 | Lens single vision not oth c | 152 | 124 | $9K |
| 92015 | 871 | 654 | $8K | |
| 92004 | 60 | 53 | $7K | |
| V2784 | Lens polycarb or equal | 14 | 13 | $841.62 |
| G8427 | Docrev cur meds by elig clin | 12 | 12 | $0.00 |
| 1036F | 14 | 13 | $0.00 |