NPI: 1104987007 · PORTSMOUTH, OH 45662 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $541.58 |
| 2019 | 17 | $270.79 |
| 2020 | 1,808 | $37K |
| 2021 | 1,706 | $33K |
| 2022 | 2,152 | $43K |
| 2023 | 1,923 | $27K |
| 2024 | 2,725 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,428 | 1,383 | $50K | |
| 92004 | 1,168 | 1,146 | $43K | |
| V2020 | Vision svcs frames purchases | 2,219 | 2,178 | $35K |
| V2100 | Lens spher single plano 4.00 | 1,568 | 1,537 | $34K |
| V2784 | Lens polycarb or equal | 958 | 933 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 284 | 281 | $10K |
| 92015 | 2,733 | 2,682 | $5K |