NPI: 1013909894 · PARMA, OH 44134 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 793 | $21K |
| 2021 | 1,421 | $36K |
| 2022 | 1,254 | $32K |
| 2023 | 920 | $17K |
| 2024 | 969 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,148 | 1,128 | $44K |
| V2020 | Vision svcs frames purchases | 1,768 | 1,736 | $26K |
| V2100 | Lens spher single plano 4.00 | 1,195 | 1,175 | $25K |
| S0620 | Routine ophthalmological exa | 348 | 344 | $13K |
| V2784 | Lens polycarb or equal | 690 | 677 | $6K |
| V2200 | Lens spher bifoc plano 4.00d | 157 | 151 | $5K |
| V2760 | Scratch resistant coating | 51 | 51 | $0.00 |