NPI: 1134386485 · OREGON, OH 43616 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 351 | $7K |
| 2019 | 2,646 | $47K |
| 2020 | 422 | $8K |
| 2021 | 82 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 385 | 352 | $20K |
| 92014 | 487 | 455 | $14K | |
| 92015 | 451 | 418 | $5K | |
| V2020 | Vision svcs frames purchases | 447 | 416 | $5K |
| 92340 | 280 | 266 | $5K | |
| 92004 | 127 | 119 | $4K | |
| V2760 | Scratch resistant coating | 385 | 353 | $4K |
| V2755 | Uv lens/es | 385 | 353 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 111 | 105 | $2K |
| V2784 | Lens polycarb or equal | 322 | 296 | $1K |
| S0580 | Polycarb lens | 15 | 15 | $450.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 33 | 33 | $448.00 |
| V2100 | Lens spher single plano 4.00 | 32 | 30 | $434.00 |
| 92341 | 13 | 13 | $346.61 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $261.03 |
| 92225 | 16 | 13 | $80.36 |