NPI: 1336294750 · MIDVALE, UT 84047 · 156FC0800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,541 | $96K |
| 2019 | 2,800 | $116K |
| 2020 | 1,714 | $85K |
| 2021 | 3,340 | $171K |
| 2022 | 3,783 | $188K |
| 2023 | 4,958 | $138K |
| 2024 | 4,988 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,685 | 4,559 | $545K | |
| 92014 | 1,218 | 1,175 | $146K | |
| V2020 | Vision svcs frames purchases | 3,744 | 3,641 | $96K |
| 92015 | 6,213 | 6,002 | $39K | |
| 92340 | 3,000 | 2,952 | $9K | |
| 92002 | 111 | 104 | $7K | |
| V2100 | Lens spher single plano 4.00 | 196 | 171 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,695 | 2,087 | $6K |
| V2784 | Lens polycarb or equal | 212 | 174 | $5K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 955 | 645 | $2K |
| V2760 | Scratch resistant coating | 77 | 67 | $1K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 18 | 13 | $0.00 |