NPI: 1316435613 · BOARDMAN, OH 44512 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $229.13 |
| 2020 | 628 | $15K |
| 2021 | 682 | $14K |
| 2022 | 581 | $11K |
| 2023 | 650 | $10K |
| 2024 | 508 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 838 | 819 | $18K |
| V2020 | Vision svcs frames purchases | 1,046 | 1,030 | $18K |
| 92015 | 529 | 510 | $6K | |
| S0621 | Routine ophthalmological exa | 125 | 119 | $5K |
| V2784 | Lens polycarb or equal | 386 | 376 | $4K |
| 92014 | 60 | 56 | $2K | |
| 92004 | 30 | 29 | $1K | |
| S0620 | Routine ophthalmological exa | 32 | 32 | $1K |
| 99203 | 15 | 15 | $866.40 |