NPI: 1316088081 · AUBURN, NE 68305 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 747 | $23K |
| 2019 | 334 | $7K |
| 2020 | 716 | $21K |
| 2021 | 1,464 | $37K |
| 2022 | 2,269 | $61K |
| 2023 | 2,031 | $55K |
| 2024 | 2,309 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,264 | 1,137 | $69K | |
| V2020 | Vision svcs frames purchases | 1,399 | 1,354 | $49K |
| 92015 | 3,282 | 3,119 | $46K | |
| 92340 | 858 | 847 | $39K | |
| 92014 | 714 | 636 | $32K | |
| 92004 | 253 | 240 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 594 | 359 | $11K |
| 92341 | 54 | 50 | $2K | |
| V2756 | Eye glass case | 1,263 | 1,224 | $1K |
| 92012 | 29 | 29 | $1K | |
| V2784 | Lens polycarb or equal | 144 | 139 | $782.40 |
| V2702 | Deluxe lens feature | 16 | 14 | $0.00 |