NPI: 1033281597 · MONTICELLO, MN 55362 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,134 | $20K |
| 2019 | 2,503 | $97K |
| 2020 | 1,505 | $59K |
| 2021 | 2,344 | $102K |
| 2022 | 1,867 | $78K |
| 2023 | 2,139 | $89K |
| 2024 | 1,956 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,172 | 2,124 | $175K | |
| 92004 | 892 | 869 | $74K | |
| V2784 | Lens polycarb or equal | 1,900 | 1,832 | $62K |
| V2020 | Vision svcs frames purchases | 1,968 | 1,897 | $60K |
| 92340 | 2,282 | 2,202 | $48K | |
| 92015 | 3,914 | 3,833 | $47K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,375 | 772 | $34K |
| 92060 | 419 | 412 | $16K | |
| V2100 | Lens spher single plano 4.00 | 473 | 259 | $9K |
| 99213 | 12 | 12 | $818.73 | |
| 92341 | 16 | 14 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 25 | 13 | $0.00 |