NPI: 1245313584 · FREMONT, NE 68025 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 543 | $11K |
| 2019 | 397 | $8K |
| 2020 | 318 | $7K |
| 2021 | 1,347 | $27K |
| 2022 | 1,356 | $29K |
| 2023 | 1,283 | $27K |
| 2024 | 99 | $974.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,160 | 3,123 | $61K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,510 | 1,492 | $32K |
| V2100 | Lens spher single plano 4.00 | 512 | 510 | $11K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 71 | 70 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 74 | 74 | $1K |
| V2025 | Eyeglasses delux frames | 16 | 16 | $215.00 |