NPI: 1114538246 · CHILLICOTHE, OH 45601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,355 | $28K |
| 2022 | 2,446 | $50K |
| 2023 | 1,776 | $23K |
| 2024 | 1,901 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,270 | 1,263 | $46K | |
| 92004 | 715 | 707 | $27K | |
| V2020 | Vision svcs frames purchases | 1,517 | 1,494 | $25K |
| V2100 | Lens spher single plano 4.00 | 878 | 867 | $17K |
| V2784 | Lens polycarb or equal | 816 | 798 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 219 | 219 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $452.40 |
| 92015 | 2,051 | 2,036 | $0.00 |