NPI: 1255335808 · DODGE CITY, KS 67801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,765 | $44K |
| 2019 | 1,751 | $59K |
| 2020 | 1,513 | $51K |
| 2021 | 351 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,364 | 1,329 | $52K |
| 92012 | 754 | 746 | $36K | |
| V2100 | Lens spher single plano 4.00 | 597 | 587 | $27K |
| V2760 | Scratch resistant coating | 1,253 | 1,223 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 411 | 400 | $16K |
| 92004 | 87 | 86 | $8K | |
| 92015 | 841 | 818 | $5K | |
| V2784 | Lens polycarb or equal | 60 | 59 | $2K |
| 3072F | 13 | 13 | $0.00 |