NPI: 1215312459 · DULUTH, MN 55807 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 225 | $5K |
| 2020 | 1,412 | $40K |
| 2021 | 2,349 | $73K |
| 2022 | 2,288 | $77K |
| 2023 | 1,395 | $51K |
| 2024 | 1,149 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 2,419 | 2,346 | $95K |
| V2020 | Vision svcs frames purchases | 2,496 | 2,411 | $76K |
| 92340 | 1,649 | 1,612 | $46K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 756 | 743 | $22K |
| 92014 | 243 | 241 | $22K | |
| 92015 | 736 | 727 | $10K | |
| 92341 | 287 | 282 | $9K | |
| 92250 | 128 | 125 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 79 | 79 | $3K |
| 92004 | 25 | 25 | $2K |