NPI: 1326004953
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,960 | $54K |
| 2020 | 1,421 | $25K |
| 2021 | 2,832 | $51K |
| 2022 | 4,524 | $78K |
| 2023 | 32 | $109.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,078 | 1,022 | $87K | |
| 92014 | 1,353 | 1,286 | $75K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,427 | 1,301 | $22K |
| V2100 | Lens spher single plano 4.00 | 726 | 662 | $11K |
| 92340 | 2,320 | 2,168 | $7K | |
| V2020 | Vision svcs frames purchases | 2,146 | 2,002 | $4K |
| 92015 | 2,233 | 2,119 | $539.00 | |
| V2784 | Lens polycarb or equal | 120 | 115 | $28.00 |
| V2025 | Eyeglasses delux frames | 313 | 294 | $0.00 |
| 2021F | 13 | 13 | $0.00 | |
| 92342 | 12 | 12 | $0.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 12 | $0.00 |
| V2756 | Eye glass case | 12 | 12 | $0.00 |