NPI: 1114039583 · WICHITA, KS 67213 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,173 | $30K |
| 2019 | 1,124 | $31K |
| 2020 | 1,018 | $30K |
| 2021 | 1,014 | $28K |
| 2022 | 1,173 | $34K |
| 2023 | 790 | $24K |
| 2024 | 169 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,693 | 1,672 | $69K |
| 92014 | 815 | 806 | $56K | |
| V2760 | Scratch resistant coating | 1,604 | 1,591 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 404 | 403 | $15K |
| 92015 | 1,768 | 1,755 | $11K | |
| 92004 | 51 | 51 | $5K | |
| V2100 | Lens spher single plano 4.00 | 31 | 31 | $1K |
| 92012 | 12 | 12 | $500.10 | |
| 2026F | 41 | 40 | $0.00 | |
| 2033F | 42 | 42 | $0.00 |