NPI: 1235318106 · SANDUSKY, OH 44870 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 467 | $13K |
| 2019 | 1,917 | $43K |
| 2020 | 2,395 | $44K |
| 2021 | 2,091 | $39K |
| 2022 | 2,791 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,327 | 1,296 | $57K | |
| 92014 | 827 | 813 | $34K | |
| 92015 | 2,349 | 2,281 | $30K | |
| V2020 | Vision svcs frames purchases | 1,465 | 1,434 | $26K |
| 92340 | 958 | 936 | $19K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 965 | 557 | $8K |
| V2100 | Lens spher single plano 4.00 | 308 | 301 | $7K |
| V2784 | Lens polycarb or equal | 1,271 | 1,249 | $6K |
| 92341 | 161 | 154 | $4K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 30 | 18 | $384.00 |