NPI: 1114133790 · NORFOLK, NE 68701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 143 | $4K |
| 2019 | 556 | $14K |
| 2020 | 544 | $17K |
| 2021 | 1,215 | $31K |
| 2022 | 1,044 | $29K |
| 2023 | 1,584 | $42K |
| 2024 | 1,538 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,249 | 1,188 | $71K | |
| 92015 | 3,252 | 3,087 | $53K | |
| 92004 | 520 | 508 | $38K | |
| 92340 | 245 | 235 | $12K | |
| V2100 | Lens spher single plano 4.00 | 50 | 49 | $7K |
| V2020 | Vision svcs frames purchases | 614 | 587 | $7K |
| 92012 | 125 | 108 | $3K | |
| 92370 | 66 | 66 | $1K | |
| 92002 | 12 | 12 | $603.24 | |
| V2756 | Eye glass case | 419 | 396 | $482.09 |
| V2760 | Scratch resistant coating | 32 | 32 | $0.00 |
| 2023F | 40 | 40 | $0.00 |