NPI: 1174604185 · NILES, IL 60714 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 203 | $9K |
| 2020 | 38 | $980.00 |
| 2021 | 101 | $2K |
| 2022 | 1,007 | $23K |
| 2023 | 2,306 | $47K |
| 2024 | 1,956 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 1,534 | 1,514 | $45K |
| V2020 | Vision svcs frames purchases | 1,032 | 1,019 | $38K |
| V2100 | Lens spher single plano 4.00 | 1,409 | 1,396 | $21K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 572 | 572 | $13K |
| V2784 | Lens polycarb or equal | 896 | 889 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 26 | $556.00 |
| V2750 | Anti-reflective coating | 139 | 138 | $0.00 |