NPI: 1295263010 · LE MARS, IA 51031 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 402 | $14K |
| 2019 | 895 | $27K |
| 2020 | 371 | $10K |
| 2021 | 349 | $18K |
| 2022 | 819 | $42K |
| 2023 | 701 | $32K |
| 2024 | 505 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,091 | 1,076 | $95K | |
| 92014 | 496 | 488 | $32K | |
| V2020 | Vision svcs frames purchases | 1,308 | 1,186 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 160 | 149 | $4K |
| V2100 | Lens spher single plano 4.00 | 88 | 86 | $2K |
| 92370 | 52 | 46 | $690.00 | |
| V2756 | Eye glass case | 289 | 280 | $299.16 |
| 92015 | 558 | 553 | $0.00 |