NPI: 1316367303 · SALEM, OR 97302 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,831 | $78K |
| 2019 | 2,971 | $99K |
| 2020 | 1,119 | $37K |
| 2021 | 2,801 | $57K |
| 2022 | 1,358 | $70K |
| 2023 | 1,525 | $91K |
| 2024 | 1,100 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 3,465 | 3,288 | $199K | |
| 92014 | 1,956 | 1,872 | $153K | |
| 92004 | 1,094 | 1,018 | $103K | |
| 92015 | 3,324 | 3,156 | $40K | |
| V2784 | Lens polycarb or equal | 887 | 794 | $8K |
| V2020 | Vision svcs frames purchases | 786 | 699 | $6K |
| V2025 | Eyeglasses delux frames | 115 | 113 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 480 | 390 | $4K |
| V2100 | Lens spher single plano 4.00 | 17 | 12 | $150.24 |
| 99072 | 581 | 509 | $0.00 |