NPI: 1225189806 · EDGEWOOD, KY 41017 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,533 | $75K |
| 2019 | 2,773 | $71K |
| 2020 | 3,207 | $79K |
| 2021 | 3,217 | $85K |
| 2022 | 3,833 | $84K |
| 2023 | 2,881 | $56K |
| 2024 | 3,197 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,851 | 1,762 | $162K | |
| 92014 | 1,684 | 1,610 | $109K | |
| 92340 | 2,806 | 2,679 | $79K | |
| V2020 | Vision svcs frames purchases | 4,022 | 3,330 | $71K |
| V2100 | Lens spher single plano 4.00 | 2,730 | 2,488 | $54K |
| V2784 | Lens polycarb or equal | 2,840 | 2,388 | $18K |
| 92015 | 3,332 | 3,143 | $17K | |
| V2760 | Scratch resistant coating | 1,463 | 1,368 | $2K |
| V2750 | Anti-reflective coating | 120 | 117 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 297 | 162 | $1K |
| S0516 | Safety frames | 48 | 48 | $767.04 |
| S0504 | Singl prscrp lens | 81 | 81 | $766.44 |
| S9999 | Sales tax | 170 | 170 | $317.64 |
| 99199 | 23 | 19 | $0.00 | |
| 2026F | 20 | 20 | $0.00 | |
| 2023F | 140 | 138 | $0.00 | |
| 2033F | 14 | 14 | $0.00 |