NPI: 1306424510 · NAPERVILLE, IL 60540 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 123 | $3K |
| 2023 | 1,435 | $38K |
| 2024 | 1,851 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 656 | 654 | $30K | |
| 92014 | 436 | 434 | $19K | |
| 92015 | 1,249 | 1,244 | $17K | |
| V2020 | Vision svcs frames purchases | 445 | 443 | $17K |
| 92340 | 161 | 159 | $5K | |
| V2784 | Lens polycarb or equal | 272 | 271 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 174 | 174 | $2K |
| V2100 | Lens spher single plano 4.00 | 16 | 16 | $192.08 |