NPI: 1033590443 · SANDUSKY, OH 44870 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 491 | $5K |
| 2019 | 454 | $4K |
| 2020 | 426 | $5K |
| 2021 | 460 | $6K |
| 2022 | 142 | $2K |
| 2023 | 523 | $7K |
| 2024 | 480 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,161 | 1,150 | $10K |
| 92340 | 263 | 261 | $5K | |
| 92015 | 367 | 364 | $5K | |
| 92014 | 136 | 136 | $4K | |
| V2784 | Lens polycarb or equal | 628 | 624 | $3K |
| 92004 | 91 | 90 | $3K | |
| V2100 | Lens spher single plano 4.00 | 109 | 106 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 221 | 220 | $2K |