NPI: 1124319009 · BEAVERTON, OR 97005 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,593 | $41K |
| 2019 | 2,643 | $70K |
| 2020 | 1,486 | $43K |
| 2021 | 779 | $21K |
| 2022 | 1,325 | $35K |
| 2023 | 467 | $11K |
| 2024 | 811 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,285 | 2,122 | $66K | |
| V2784 | Lens polycarb or equal | 2,178 | 2,001 | $65K |
| 92014 | 656 | 606 | $43K | |
| V2020 | Vision svcs frames purchases | 2,522 | 2,360 | $30K |
| 92004 | 444 | 427 | $30K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 968 | 899 | $16K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 38 | 38 | $575.25 |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $165.75 |