NPI: 1043257363 · DONIPHAN, MO 63935 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,099 | $37K |
| 2019 | 2,022 | $42K |
| 2020 | 1,803 | $36K |
| 2021 | 1,401 | $27K |
| 2022 | 2,046 | $65K |
| 2023 | 1,930 | $84K |
| 2024 | 849 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,090 | 2,018 | $124K | |
| 92004 | 1,164 | 1,118 | $86K | |
| V2020 | Vision svcs frames purchases | 2,290 | 2,199 | $60K |
| 92015 | 4,201 | 4,072 | $21K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 647 | 370 | $17K |
| 92340 | 1,539 | 1,521 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 129 | 71 | $3K |
| V2784 | Lens polycarb or equal | 40 | 20 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 18 | $816.92 |
| V2100 | Lens spher single plano 4.00 | 23 | 12 | $575.00 |