NPI: 1154734101 · NILES, IL 60714 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 831 | $33K |
| 2022 | 4,772 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,046 | 1,042 | $46K | |
| 92015 | 1,729 | 1,723 | $31K | |
| V2100 | Lens spher single plano 4.00 | 578 | 578 | $29K |
| 92004 | 580 | 580 | $27K | |
| 92340 | 770 | 766 | $22K | |
| V2020 | Vision svcs frames purchases | 318 | 318 | $9K |
| 99213 | 195 | 183 | $6K | |
| V2784 | Lens polycarb or equal | 164 | 164 | $2K |
| V2025 | Eyeglasses delux frames | 123 | 123 | $1K |
| 92310 | 12 | 12 | $786.70 | |
| 3072F | 88 | 86 | $0.00 |