NPI: 1053446443 · DAKOTA DUNES, SD 57049 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 669 | $28K |
| 2019 | 579 | $21K |
| 2020 | 1,199 | $55K |
| 2021 | 2,050 | $88K |
| 2022 | 3,419 | $131K |
| 2023 | 4,177 | $122K |
| 2024 | 6,018 | $126K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,788 | 1,446 | $112K | |
| 99204 | 1,137 | 1,025 | $84K | |
| 92014 | 2,048 | 1,599 | $77K | |
| 66984 | 110 | 75 | $51K | |
| 99214 | 1,435 | 1,179 | $48K | |
| 92015 | 5,243 | 4,185 | $47K | |
| 92134 | 1,816 | 1,526 | $37K | |
| V2020 | Vision svcs frames purchases | 1,556 | 1,281 | $33K |
| 67028 | 177 | 129 | $22K | |
| 92133 | 539 | 449 | $13K | |
| 92012 | 519 | 378 | $12K | |
| 92060 | 357 | 233 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 657 | 362 | $8K |
| 92136 | 186 | 155 | $6K | |
| 99213 | 268 | 219 | $6K | |
| 92083 | 150 | 141 | $6K | |
| V2100 | Lens spher single plano 4.00 | 67 | 26 | $702.61 |
| 92250 | 13 | 12 | $436.00 | |
| V2784 | Lens polycarb or equal | 45 | 27 | $146.88 |