NPI: 1336282623 · GREENVILLE, MI 48838 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 454 | $11K |
| 2023 | 705 | $16K |
| 2024 | 510 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 224 | 224 | $11K | |
| V2020 | Vision svcs frames purchases | 447 | 442 | $11K |
| V2100 | Lens spher single plano 4.00 | 388 | 328 | $7K |
| V2784 | Lens polycarb or equal | 409 | 408 | $2K |
| 92340 | 119 | 116 | $2K | |
| S0620 | Routine ophthalmological exa | 51 | 51 | $2K |
| S0621 | Routine ophthalmological exa | 15 | 15 | $736.95 |
| V2025 | Eyeglasses delux frames | 16 | 16 | $316.80 |