NPI: 1144357211 · EAST GRAND FORKS, MN 56721 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,756 | $51K |
| 2019 | 4,734 | $193K |
| 2020 | 2,740 | $115K |
| 2021 | 3,748 | $173K |
| 2022 | 3,980 | $182K |
| 2023 | 4,697 | $215K |
| 2024 | 4,395 | $222K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,465 | 5,326 | $444K | |
| V2020 | Vision svcs frames purchases | 4,875 | 4,643 | $161K |
| 92004 | 1,563 | 1,532 | $148K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,862 | 2,348 | $121K |
| V2784 | Lens polycarb or equal | 5,764 | 4,645 | $116K |
| 92015 | 8,239 | 8,033 | $101K | |
| V2100 | Lens spher single plano 4.00 | 390 | 366 | $28K |
| 92012 | 302 | 292 | $14K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 265 | 181 | $10K |
| 92340 | 325 | 325 | $8K |