NPI: 1275157158 · MILFORD, OH 45150 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 187 | $4K |
| 2021 | 2,870 | $58K |
| 2022 | 2,097 | $48K |
| 2023 | 2,054 | $34K |
| 2024 | 425 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,750 | 1,710 | $38K |
| 92004 | 901 | 880 | $36K | |
| 92014 | 890 | 866 | $31K | |
| V2020 | Vision svcs frames purchases | 1,963 | 1,921 | $26K |
| V2784 | Lens polycarb or equal | 1,372 | 1,343 | $12K |
| 92310 | 13 | 13 | $820.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $472.40 |
| 92015 | 604 | 603 | $10.00 | |
| V2750 | Anti-reflective coating | 128 | 126 | $0.00 |