NPI: 1073661187 · DAKOTA DUNES, SD 57049 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 396 | $4K |
| 2019 | 526 | $10K |
| 2020 | 741 | $36K |
| 2021 | 356 | $22K |
| 2022 | 462 | $25K |
| 2023 | 324 | $13K |
| 2024 | 115 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 585 | 562 | $48K | |
| 92014 | 507 | 477 | $31K | |
| V2020 | Vision svcs frames purchases | 860 | 795 | $22K |
| 92002 | 117 | 115 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 112 | 79 | $2K |
| 92015 | 599 | 526 | $1K | |
| 92012 | 13 | 13 | $566.90 | |
| V2100 | Lens spher single plano 4.00 | 21 | 20 | $394.80 |
| V2784 | Lens polycarb or equal | 16 | 14 | $354.88 |
| V2756 | Eye glass case | 90 | 84 | $86.40 |