NPI: 1114002060 · BLOOMFIELD HILLS, MI 48302 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 652 | $18K |
| 2019 | 1,285 | $41K |
| 2020 | 545 | $16K |
| 2021 | 1,584 | $33K |
| 2022 | 992 | $19K |
| 2023 | 800 | $12K |
| 2024 | 667 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,010 | 2,007 | $47K |
| S0621 | Routine ophthalmological exa | 1,075 | 1,075 | $31K |
| 92340 | 1,321 | 1,317 | $22K | |
| 92341 | 933 | 930 | $19K | |
| S0620 | Routine ophthalmological exa | 505 | 505 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 420 | 419 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 127 | 127 | $2K |
| V2756 | Eye glass case | 134 | 133 | $3.78 |