NPI: 1083716492 · AVON, OH 44011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,557 | $31K |
| 2021 | 1,900 | $39K |
| 2022 | 2,085 | $48K |
| 2023 | 1,955 | $35K |
| 2024 | 1,489 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,927 | 1,879 | $73K | |
| 92250 | 1,274 | 1,139 | $43K | |
| 92014 | 1,044 | 1,032 | $40K | |
| V2100 | Lens spher single plano 4.00 | 516 | 505 | $11K |
| V2020 | Vision svcs frames purchases | 681 | 660 | $10K |
| V2784 | Lens polycarb or equal | 404 | 392 | $4K |
| 99203 | 12 | 12 | $577.60 | |
| 92015 | 3,098 | 3,028 | $270.03 | |
| V2025 | Eyeglasses delux frames | 17 | 17 | $187.00 |
| 92227 | 13 | 13 | $55.66 |