NPI: 1164584157 · MIDDLETOWN, OH 45044 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 568 | $20K |
| 2019 | 502 | $17K |
| 2020 | 955 | $19K |
| 2021 | 1,171 | $23K |
| 2022 | 950 | $21K |
| 2023 | 638 | $9K |
| 2024 | 1,117 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,853 | 1,823 | $76K | |
| V2020 | Vision svcs frames purchases | 894 | 883 | $16K |
| V2100 | Lens spher single plano 4.00 | 657 | 652 | $15K |
| 92340 | 463 | 442 | $10K | |
| 92004 | 158 | 156 | $6K | |
| V2784 | Lens polycarb or equal | 586 | 584 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $452.40 |
| 92015 | 1,278 | 1,265 | $429.07 |