NPI: 1144403916 · SANTA MARIA, CA 93454 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,463 | $140K |
| 2019 | 4,531 | $154K |
| 2020 | 4,235 | $121K |
| 2021 | 4,435 | $96K |
| 2022 | 4,801 | $104K |
| 2023 | 5,708 | $122K |
| 2024 | 6,278 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 8,075 | 8,051 | $350K | |
| V2020 | Vision svcs frames purchases | 7,571 | 7,513 | $161K |
| V2784 | Lens polycarb or equal | 1,994 | 1,956 | $131K |
| 92015 | 8,771 | 8,748 | $77K | |
| 92340 | 4,853 | 4,827 | $52K | |
| 92004 | 685 | 682 | $30K | |
| V2100 | Lens spher single plano 4.00 | 747 | 743 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 732 | 728 | $23K |
| 92341 | 572 | 570 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 303 | 302 | $9K |
| 92250 | 117 | 116 | $5K | |
| 92012 | 31 | 30 | $770.35 |