NPI: 1114987914 · CIRCLEVILLE, OH 43113 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 478 | $10K |
| 2021 | 2,797 | $58K |
| 2022 | 2,704 | $56K |
| 2023 | 2,105 | $31K |
| 2024 | 143 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,357 | 1,336 | $56K | |
| V2020 | Vision svcs frames purchases | 1,603 | 1,573 | $29K |
| V2100 | Lens spher single plano 4.00 | 1,229 | 1,203 | $28K |
| 92014 | 661 | 642 | $23K | |
| V2784 | Lens polycarb or equal | 811 | 792 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 171 | 171 | $6K |
| 92015 | 2,331 | 2,288 | $5K | |
| 99203 | 27 | 27 | $2K | |
| 92340 | 25 | 25 | $486.87 | |
| 92341 | 12 | 12 | $184.79 |