NPI: 1134301666 · MOBERLY, MO 65270 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 862 | $10K |
| 2019 | 321 | $6K |
| 2020 | 240 | $4K |
| 2021 | 143 | $2K |
| 2022 | 190 | $4K |
| 2023 | 640 | $18K |
| 2024 | 348 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 587 | 514 | $13K |
| 92014 | 323 | 283 | $12K | |
| V2715 | Prism lens/es | 1,046 | 558 | $11K |
| V2784 | Lens polycarb or equal | 375 | 210 | $8K |
| 92004 | 46 | 44 | $4K | |
| 92012 | 17 | 17 | $1K | |
| 92015 | 274 | 236 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 25 | 15 | $983.64 |
| V2100 | Lens spher single plano 4.00 | 51 | 24 | $331.19 |