NPI: 1326144346 · OAKWOOD, OH 45419 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,437 | $103K |
| 2021 | 3,118 | $64K |
| 2022 | 4,187 | $92K |
| 2023 | 2,595 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,966 | 2,927 | $73K |
| 92014 | 1,634 | 1,592 | $68K | |
| 92004 | 1,586 | 1,566 | $67K | |
| V2020 | Vision svcs frames purchases | 3,815 | 3,774 | $64K |
| V2200 | Lens spher bifoc plano 4.00d | 595 | 594 | $22K |
| V2784 | Lens polycarb or equal | 2,140 | 2,113 | $21K |
| V2299 | Lens bifocal speciality | 54 | 54 | $2K |
| V2745 | Tint, any color/solid/grad | 29 | 29 | $7.20 |
| 92015 | 2,169 | 2,145 | $5.00 | |
| V2750 | Anti-reflective coating | 218 | 217 | $0.00 |
| V2744 | Tint photochromatic lens/es | 62 | 62 | $0.00 |
| V2781 | Progressive lens per lens | 54 | 54 | $0.00 |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 15 | 14 | $0.00 |