NPI: 1275685703 · WEST DES MOINES, IA 50266 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,607 | $27K |
| 2019 | 2,175 | $34K |
| 2020 | 1,837 | $33K |
| 2021 | 2,126 | $37K |
| 2022 | 1,364 | $26K |
| 2023 | 1,346 | $17K |
| 2024 | 3,902 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,639 | 4,120 | $100K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,516 | 2,956 | $67K |
| V2784 | Lens polycarb or equal | 4,135 | 3,467 | $35K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 502 | 361 | $8K |
| V2025 | Eyeglasses delux frames | 184 | 138 | $6K |
| V2107 | Spherocylinder 4.25d/12-2d | 332 | 259 | $6K |
| V2100 | Lens spher single plano 4.00 | 212 | 160 | $3K |
| V2756 | Eye glass case | 837 | 665 | $627.46 |