NPI: 1124052626 · FREMONT, OH 43420 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,503 | $37K |
| 2019 | 2,845 | $39K |
| 2020 | 1,723 | $23K |
| 2021 | 1,585 | $22K |
| 2022 | 1,761 | $24K |
| 2023 | 224 | $3K |
| 2024 | 71 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,139 | 1,132 | $51K | |
| 92340 | 1,989 | 1,937 | $42K | |
| 92015 | 1,844 | 1,833 | $38K | |
| 92004 | 292 | 291 | $14K | |
| 92341 | 79 | 77 | $2K | |
| 99214 | 12 | 12 | $864.42 | |
| V2020 | Vision svcs frames purchases | 2,090 | 2,039 | $360.00 |
| V2100 | Lens spher single plano 4.00 | 135 | 130 | $336.00 |
| V2784 | Lens polycarb or equal | 1,728 | 1,694 | $78.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,367 | 1,338 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 24 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 12 | $0.00 |