NPI: 1265438956 · EDMONTON, KY 42129 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,716 | $108K |
| 2019 | 3,265 | $86K |
| 2020 | 3,069 | $81K |
| 2021 | 3,949 | $83K |
| 2022 | 3,571 | $84K |
| 2023 | 3,434 | $84K |
| 2024 | 4,690 | $98K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,049 | 2,886 | $198K | |
| 92004 | 1,615 | 1,508 | $139K | |
| 92340 | 3,372 | 3,200 | $98K | |
| V2020 | Vision svcs frames purchases | 4,554 | 3,647 | $83K |
| V2100 | Lens spher single plano 4.00 | 2,849 | 2,592 | $52K |
| 92015 | 4,283 | 4,009 | $23K | |
| V2784 | Lens polycarb or equal | 2,792 | 2,314 | $16K |
| V2760 | Scratch resistant coating | 1,783 | 1,743 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 547 | 279 | $3K |
| S0516 | Safety frames | 167 | 166 | $3K |
| 92285 | 153 | 145 | $2K | |
| 92341 | 58 | 51 | $2K | |
| S0504 | Singl prscrp lens | 162 | 161 | $1K |
| S9999 | Sales tax | 281 | 280 | $458.49 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 29 | 14 | $300.94 |