NPI: 1184673576 · MENTOR, OH 44060 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $1K |
| 2019 | 117 | $4K |
| 2020 | 16 | $501.56 |
| 2021 | 824 | $21K |
| 2022 | 1,475 | $37K |
| 2023 | 1,933 | $37K |
| 2024 | 106 | $37.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,004 | 945 | $39K | |
| V2020 | Vision svcs frames purchases | 1,342 | 1,117 | $19K |
| V2784 | Lens polycarb or equal | 894 | 688 | $15K |
| 92014 | 405 | 382 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 752 | 602 | $11K |
| 92310 | 44 | 37 | $3K | |
| 92100 | 44 | 44 | $1K | |
| V2100 | Lens spher single plano 4.00 | 18 | 13 | $280.00 |