NPI: 1124289384 · CHARLEVOIX, MI 49720 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,129 | $31K |
| 2019 | 981 | $32K |
| 2020 | 748 | $24K |
| 2021 | 802 | $24K |
| 2022 | 978 | $28K |
| 2023 | 770 | $21K |
| 2024 | 579 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,163 | 1,118 | $72K | |
| 92004 | 534 | 520 | $40K | |
| 92340 | 1,728 | 1,687 | $34K | |
| 92015 | 2,061 | 2,016 | $22K | |
| 92341 | 202 | 202 | $5K | |
| V2020 | Vision svcs frames purchases | 110 | 95 | $2K |
| S0620 | Routine ophthalmological exa | 12 | 12 | $593.67 |
| V2100 | Lens spher single plano 4.00 | 18 | 17 | $93.12 |
| 92202 | 15 | 14 | $58.80 | |
| 1036F | 144 | 142 | $0.00 |