NPI: 1063759678 · HOLLAND, MI 49423 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,078 | $63K |
| 2019 | 1,308 | $79K |
| 2020 | 1,348 | $72K |
| 2021 | 2,048 | $84K |
| 2022 | 1,388 | $46K |
| 2023 | 1,236 | $41K |
| 2024 | 703 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,751 | 2,692 | $187K | |
| 92004 | 1,518 | 1,467 | $138K | |
| 92012 | 455 | 433 | $19K | |
| 99214 | 263 | 246 | $15K | |
| 92340 | 350 | 336 | $11K | |
| V2020 | Vision svcs frames purchases | 342 | 327 | $9K |
| 99204 | 76 | 76 | $8K | |
| V2100 | Lens spher single plano 4.00 | 340 | 324 | $8K |
| 99212 | 192 | 168 | $5K | |
| 99213 | 85 | 85 | $4K | |
| 92060 | 65 | 65 | $3K | |
| 92015 | 541 | 528 | $525.72 | |
| V2784 | Lens polycarb or equal | 16 | 12 | $64.00 |
| 3072F | 325 | 323 | $0.00 | |
| 2023F | 1,790 | 1,780 | $0.00 |