NPI: 1073869293 · OWOSSO, MI 48867 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 342 | $6K |
| 2019 | 170 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 130 | 129 | $4K |
| 92340 | 95 | 95 | $2K | |
| S0620 | Routine ophthalmological exa | 39 | 38 | $2K |
| S0621 | Routine ophthalmological exa | 26 | 25 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 96 | 72 | $574.47 |
| V2100 | Lens spher single plano 4.00 | 16 | 12 | $91.20 |
| V2756 | Eye glass case | 110 | 110 | $11.61 |