NPI: 1306354147 · BURLINGTON, IA 52601 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 356 | $8K |
| 2019 | 2,198 | $53K |
| 2020 | 1,451 | $36K |
| 2021 | 1,876 | $49K |
| 2022 | 2,250 | $55K |
| 2023 | 1,254 | $30K |
| 2024 | 844 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,880 | 1,852 | $121K | |
| 92004 | 613 | 604 | $55K | |
| V2020 | Vision svcs frames purchases | 2,025 | 1,923 | $50K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,002 | 961 | $20K |
| V2756 | Eye glass case | 1,918 | 1,853 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 12 | $387.87 |
| V2100 | Lens spher single plano 4.00 | 14 | 13 | $230.92 |
| 92015 | 2,764 | 2,723 | $0.00 |