NPI: 1124111851 · LORAIN, OH 44052 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 119 | $1K |
| 2019 | 56 | $902.73 |
| 2020 | 3,510 | $66K |
| 2021 | 4,303 | $88K |
| 2022 | 4,470 | $89K |
| 2023 | 1,010 | $13K |
| 2024 | 1,232 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,876 | 1,870 | $77K | |
| V2020 | Vision svcs frames purchases | 3,372 | 3,359 | $54K |
| 92014 | 1,209 | 1,209 | $49K | |
| V2100 | Lens spher single plano 4.00 | 1,928 | 1,921 | $44K |
| V2200 | Lens spher bifoc plano 4.00d | 881 | 881 | $30K |
| V2784 | Lens polycarb or equal | 1,956 | 1,946 | $19K |
| 92015 | 3,260 | 3,252 | $1K | |
| 92340 | 26 | 25 | $544.25 | |
| 92341 | 13 | 13 | $350.61 | |
| V2755 | Uv lens/es | 167 | 167 | $0.00 |
| 2022F | 12 | 12 | $0.00 |