NPI: 1023888088 · EVANSVILLE, IN 47708 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 992 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 154 | 136 | $3K | |
| 92014 | 62 | 62 | $2K | |
| V2020 | Vision svcs frames purchases | 180 | 134 | $2K |
| 92004 | 35 | 35 | $1K | |
| 92015 | 131 | 130 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 132 | 103 | $980.00 |
| S0516 | Safety frames | 37 | 37 | $591.26 |
| V2784 | Lens polycarb or equal | 156 | 125 | $461.00 |
| S0504 | Singl prscrp lens | 37 | 37 | $337.36 |
| 92341 | 15 | 12 | $304.00 | |
| S9999 | Sales tax | 37 | 37 | $50.70 |
| V2760 | Scratch resistant coating | 16 | 16 | $26.00 |