NPI: 1013122639 · FENTON, MI 48430 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 276 | $10K |
| 2019 | 233 | $6K |
| 2020 | 228 | $7K |
| 2021 | 381 | $11K |
| 2022 | 549 | $14K |
| 2023 | 429 | $13K |
| 2024 | 202 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,255 | 1,249 | $40K |
| S0620 | Routine ophthalmological exa | 316 | 316 | $15K |
| S0621 | Routine ophthalmological exa | 137 | 137 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 541 | 384 | $4K |
| 92014 | 29 | 24 | $2K | |
| V2100 | Lens spher single plano 4.00 | 20 | 12 | $129.54 |