NPI: 1134260433 · AURORA, IL 60506 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 78 | $2K |
| 2021 | 95 | $3K |
| 2022 | 371 | $9K |
| 2023 | 1,279 | $32K |
| 2024 | 2,709 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 621 | 608 | $26K | |
| V2020 | Vision svcs frames purchases | 611 | 611 | $24K |
| 92340 | 810 | 792 | $18K | |
| 92014 | 374 | 372 | $16K | |
| 92015 | 1,121 | 1,100 | $14K | |
| V2784 | Lens polycarb or equal | 614 | 614 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 308 | 308 | $3K |
| V2100 | Lens spher single plano 4.00 | 73 | 73 | $791.12 |