NPI: 1013390921 · FENTON, MI 48430 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,059 | $23K |
| 2019 | 139 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 381 | 376 | $9K |
| S0620 | Routine ophthalmological exa | 168 | 166 | $7K |
| 92340 | 182 | 182 | $3K | |
| 92082 | 145 | 143 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 50 | 50 | $1K |
| V2100 | Lens spher single plano 4.00 | 157 | 156 | $1K |
| S0621 | Routine ophthalmological exa | 36 | 36 | $1K |
| V2715 | Prism lens/es | 66 | 65 | $249.22 |
| V2756 | Eye glass case | 13 | 13 | $2.43 |