NPI: 1326704750 · GREELEY, CO 80634 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 239 | $10K |
| 2023 | 870 | $47K |
| 2024 | 151 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 226 | 163 | $17K |
| 92004 | 118 | 117 | $14K | |
| V2020 | Vision svcs frames purchases | 218 | 154 | $12K |
| V2784 | Lens polycarb or equal | 244 | 173 | $10K |
| 92340 | 241 | 171 | $5K | |
| 92014 | 40 | 40 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 56 | 39 | $4K |
| 92015 | 117 | 115 | $0.00 |