NPI: 1326303645 · LIMA, OH 45804 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,003 | $30K |
| 2019 | 1,810 | $24K |
| 2020 | 944 | $8K |
| 2021 | 442 | $3K |
| 2022 | 687 | $8K |
| 2023 | 127 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,287 | 1,254 | $25K | |
| 92014 | 559 | 553 | $25K | |
| 92015 | 904 | 898 | $19K | |
| 92004 | 97 | 97 | $5K | |
| V2784 | Lens polycarb or equal | 1,198 | 1,178 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 614 | 603 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 29 | 29 | $0.00 |
| V2020 | Vision svcs frames purchases | 1,325 | 1,297 | $0.00 |