NPI: 1114961208 · WOOD DALE, IL 60191 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,324 | $46K |
| 2019 | 2,159 | $74K |
| 2020 | 3,442 | $119K |
| 2021 | 3,029 | $102K |
| 2022 | 3,112 | $95K |
| 2023 | 3,110 | $94K |
| 2024 | 2,702 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,826 | 4,388 | $216K | |
| 92004 | 3,289 | 2,912 | $154K | |
| 92015 | 7,457 | 6,774 | $134K | |
| V2100 | Lens spher single plano 4.00 | 817 | 721 | $47K |
| 92012 | 885 | 714 | $40K | |
| V2025 | Eyeglasses delux frames | 782 | 691 | $17K |
| 92340 | 255 | 255 | $5K | |
| V2784 | Lens polycarb or equal | 327 | 326 | $4K |
| V2020 | Vision svcs frames purchases | 122 | 122 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 118 | 118 | $1K |