NPI: 1184009847 · CLINTON, IA 52732 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 644 | $13K |
| 2019 | 855 | $17K |
| 2020 | 489 | $13K |
| 2021 | 398 | $10K |
| 2022 | 236 | $6K |
| 2023 | 157 | $3K |
| 2024 | 26 | $15.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 405 | 394 | $24K | |
| 92004 | 254 | 247 | $22K | |
| V2020 | Vision svcs frames purchases | 547 | 533 | $13K |
| 92015 | 1,207 | 1,127 | $1K | |
| V2100 | Lens spher single plano 4.00 | 45 | 42 | $887.12 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 28 | 26 | $547.88 |
| V2756 | Eye glass case | 265 | 259 | $273.24 |
| V2784 | Lens polycarb or equal | 54 | 54 | $56.00 |