NPI: 1104231265 · ROCKY RIVER, OH 44116 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 133 | $4K |
| 2020 | 779 | $15K |
| 2021 | 848 | $19K |
| 2022 | 1,099 | $25K |
| 2023 | 731 | $8K |
| 2024 | 686 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 951 | 901 | $20K |
| V2020 | Vision svcs frames purchases | 1,151 | 1,080 | $15K |
| 92015 | 1,006 | 966 | $12K | |
| 92014 | 273 | 265 | $12K | |
| 92004 | 273 | 258 | $11K | |
| V2784 | Lens polycarb or equal | 499 | 468 | $4K |
| 99203 | 76 | 70 | $4K | |
| 92310 | 19 | 19 | $1K | |
| 92250 | 12 | 12 | $393.00 | |
| 92340 | 16 | 15 | $304.78 |