NPI: 1205808359 · FORT DODGE, IA 50501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,477 | $40K |
| 2019 | 1,568 | $39K |
| 2020 | 968 | $38K |
| 2021 | 1,689 | $69K |
| 2022 | 2,155 | $87K |
| 2023 | 1,886 | $77K |
| 2024 | 1,419 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,443 | 2,319 | $156K | |
| 92004 | 1,119 | 1,095 | $86K | |
| V2020 | Vision svcs frames purchases | 3,495 | 3,361 | $83K |
| V2100 | Lens spher single plano 4.00 | 1,230 | 1,179 | $30K |
| 92012 | 595 | 549 | $26K | |
| 92002 | 416 | 404 | $23K | |
| V2111 | Spherocylindr 7.25d/.25-2.25 | 90 | 83 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 141 | 121 | $3K |
| 99213 | 57 | 40 | $2K | |
| V2756 | Eye glass case | 1,543 | 1,490 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 14 | $480.22 |
| 99308 | 19 | 13 | $308.00 |