NPI: 1134221864 · FORT SCOTT, KS 66701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,123 | $23K |
| 2019 | 1,288 | $32K |
| 2020 | 398 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 623 | 573 | $26K | |
| V2020 | Vision svcs frames purchases | 670 | 608 | $23K |
| 92015 | 993 | 909 | $5K | |
| 92002 | 95 | 93 | $5K | |
| V2100 | Lens spher single plano 4.00 | 116 | 85 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 81 | 56 | $2K |
| V2760 | Scratch resistant coating | 90 | 79 | $1K |
| S0580 | Polycarb lens | 141 | 89 | $890.00 |