NPI: 1093790941 · OREGON, OH 43616 · 156FC0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 838 | $9K |
| 2021 | 380 | $4K |
| 2022 | 86 | $748.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 335 | 329 | $3K |
| V2760 | Scratch resistant coating | 324 | 319 | $3K |
| 92340 | 174 | 170 | $3K | |
| V2755 | Uv lens/es | 325 | 320 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 61 | 58 | $840.00 |
| 92341 | 40 | 39 | $693.79 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $234.00 |
| V2784 | Lens polycarb or equal | 32 | 30 | $128.00 |