NPI: 1184782112 · PONTIAC, IL 61764 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,782 | $124K |
| 2019 | 5,718 | $160K |
| 2020 | 2,412 | $67K |
| 2021 | 6,393 | $149K |
| 2022 | 8,220 | $182K |
| 2023 | 8,098 | $173K |
| 2024 | 8,913 | $183K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 6,834 | 6,338 | $199K | |
| 92014 | 3,477 | 3,235 | $147K | |
| V2025 | Eyeglasses delux frames | 3,278 | 3,066 | $134K |
| 92004 | 2,806 | 2,572 | $124K | |
| V2100 | Lens spher single plano 4.00 | 6,523 | 6,054 | $117K |
| 92015 | 6,478 | 5,989 | $115K | |
| V2784 | Lens polycarb or equal | 5,979 | 5,510 | $54K |
| V2020 | Vision svcs frames purchases | 5,587 | 5,194 | $52K |
| 92341 | 1,574 | 1,459 | $46K | |
| V2200 | Lens spher bifoc plano 4.00d | 1,561 | 1,441 | $42K |
| 92250 | 141 | 128 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 260 | 247 | $3K |
| 92012 | 14 | 13 | $608.30 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 24 | 13 | $288.00 |