NPI: 1154701118 · SHENANDOAH, IA 51601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,584 | $50K |
| 2019 | 1,226 | $39K |
| 2020 | 565 | $23K |
| 2021 | 711 | $30K |
| 2022 | 975 | $34K |
| 2023 | 794 | $26K |
| 2024 | 756 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,900 | 1,877 | $119K | |
| V2020 | Vision svcs frames purchases | 1,663 | 1,632 | $40K |
| 92012 | 857 | 855 | $40K | |
| V2100 | Lens spher single plano 4.00 | 428 | 424 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 360 | 357 | $8K |
| 92004 | 33 | 33 | $3K | |
| 99213 | 61 | 58 | $2K | |
| 92002 | 12 | 12 | $673.38 | |
| V2756 | Eye glass case | 549 | 547 | $589.68 |
| 92015 | 748 | 729 | $90.30 |