NPI: 1215984224 · CARUTHERSVILLE, MO 63830 · 152WV0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 908 | $17K |
| 2019 | 2,412 | $22K |
| 2020 | 1,028 | $8K |
| 2021 | 1,029 | $7K |
| 2022 | 1,282 | $8K |
| 2023 | 1,257 | $7K |
| 2024 | 823 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 985 | 976 | $38K | |
| 92340 | 2,438 | 1,463 | $21K | |
| 92015 | 1,463 | 1,448 | $10K | |
| 92004 | 112 | 112 | $4K | |
| V2784 | Lens polycarb or equal | 29 | 19 | $195.00 |
| V2020 | Vision svcs frames purchases | 2,122 | 1,133 | $61.50 |
| V2100 | Lens spher single plano 4.00 | 1,513 | 1,038 | $45.02 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 77 | 73 | $0.00 |