NPI: 1063483634 · ATLANTIC, IA 50022 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 503 | $24K |
| 2019 | 481 | $18K |
| 2020 | 221 | $12K |
| 2021 | 241 | $13K |
| 2022 | 235 | $13K |
| 2023 | 166 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,332 | 1,297 | $76K | |
| V2020 | Vision svcs frames purchases | 210 | 202 | $5K |
| 92004 | 59 | 58 | $5K | |
| 99213 | 42 | 40 | $880.88 | |
| V2100 | Lens spher single plano 4.00 | 27 | 26 | $648.36 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 14 | 14 | $233.02 |
| V2756 | Eye glass case | 107 | 107 | $114.48 |
| 92015 | 30 | 28 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 26 | 24 | $0.00 |