NPI: 1023198959 · FREDERICKTOWN, MO 63645 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,774 | $124K |
| 2019 | 5,844 | $108K |
| 2020 | 1,779 | $35K |
| 2021 | 294 | $7K |
| 2022 | 543 | $14K |
| 2023 | 480 | $20K |
| 2024 | 319 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,069 | 2,687 | $147K | |
| V2020 | Vision svcs frames purchases | 3,262 | 2,784 | $58K |
| V2784 | Lens polycarb or equal | 2,373 | 1,871 | $34K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,164 | 1,569 | $21K |
| 92012 | 789 | 644 | $20K | |
| 92015 | 4,487 | 3,881 | $20K | |
| V2100 | Lens spher single plano 4.00 | 1,634 | 1,286 | $15K |
| 92002 | 185 | 160 | $5K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 27 | 24 | $587.80 |
| V2107 | Spherocylinder 4.25d/12-2d | 28 | 25 | $558.62 |
| 92004 | 15 | 12 | $508.56 |