NPI: 1225481575 · FERNDALE, MI 48220 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,412 | $69K |
| 2020 | 3,573 | $97K |
| 2021 | 2,373 | $81K |
| 2022 | 2,600 | $74K |
| 2023 | 2,559 | $75K |
| 2024 | 2,897 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,251 | 5,079 | $148K |
| V2100 | Lens spher single plano 4.00 | 2,875 | 2,783 | $84K |
| 92004 | 1,561 | 1,513 | $67K | |
| 92014 | 1,415 | 1,380 | $60K | |
| 92340 | 2,184 | 2,120 | $38K | |
| 92015 | 868 | 832 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 931 | 892 | $14K |
| 99213 | 178 | 172 | $12K | |
| 92060 | 176 | 173 | $10K | |
| V2200 | Lens spher bifoc plano 4.00d | 159 | 152 | $8K |
| V2784 | Lens polycarb or equal | 1,484 | 1,436 | $6K |
| 99203 | 44 | 44 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 188 | 186 | $3K |
| V2025 | Eyeglasses delux frames | 59 | 58 | $3K |
| V2101 | Single visn sphere 4.12-7.00 | 29 | 29 | $440.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $155.00 |