NPI: 1063844108 · BEAVERCREEK, OH 45434 · 152WV0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,302 | $11K |
| 2024 | 1,589 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 601 | 590 | $15K | |
| 92004 | 557 | 543 | $14K | |
| V2020 | Vision svcs frames purchases | 896 | 796 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 517 | 458 | $5K |
| V2784 | Lens polycarb or equal | 184 | 179 | $3K |
| V2100 | Lens spher single plano 4.00 | 79 | 71 | $550.00 |
| 92015 | 40 | 40 | $0.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 17 | 14 | $0.00 |