NPI: 1083925572 · SPENCER, IA 51301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,293 | $101K |
| 2019 | 3,421 | $90K |
| 2020 | 1,967 | $49K |
| 2021 | 1,485 | $40K |
| 2022 | 1,300 | $37K |
| 2023 | 880 | $25K |
| 2024 | 465 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,915 | 2,895 | $191K | |
| V2020 | Vision svcs frames purchases | 2,229 | 2,176 | $63K |
| 92004 | 808 | 802 | $57K | |
| V2100 | Lens spher single plano 4.00 | 1,615 | 1,580 | $36K |
| V2200 | Lens spher bifoc plano 4.00d | 118 | 117 | $4K |
| V2784 | Lens polycarb or equal | 1,264 | 1,244 | $4K |
| V2756 | Eye glass case | 1,292 | 1,267 | $1K |
| 99212 | 15 | 12 | $470.40 | |
| 92015 | 2,555 | 2,533 | $0.00 |