NPI: 1306804471 · PORTSMOUTH, OH 45662 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 918 | $27K |
| 2019 | 395 | $12K |
| 2020 | 190 | $5K |
| 2021 | 561 | $15K |
| 2022 | 990 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 478 | 456 | $28K | |
| 92014 | 367 | 345 | $14K | |
| V2020 | Vision svcs frames purchases | 480 | 461 | $14K |
| 92340 | 620 | 586 | $11K | |
| 92015 | 659 | 623 | $8K | |
| 92341 | 129 | 127 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 142 | 84 | $2K |
| V2100 | Lens spher single plano 4.00 | 38 | 32 | $1K |
| V2784 | Lens polycarb or equal | 26 | 13 | $117.00 |
| 92012 | 15 | 14 | $102.99 | |
| V2756 | Eye glass case | 86 | 85 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 14 | 14 | $0.00 |