NPI: 1336553940 · BEAVERCREEK, OH 45434 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $254.79 |
| 2020 | 1,229 | $32K |
| 2021 | 2,728 | $68K |
| 2022 | 1,199 | $29K |
| 2023 | 983 | $16K |
| 2024 | 276 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 881 | 871 | $50K | |
| 92014 | 818 | 808 | $43K | |
| V2020 | Vision svcs frames purchases | 1,528 | 1,496 | $23K |
| V2100 | Lens spher single plano 4.00 | 890 | 872 | $22K |
| V2784 | Lens polycarb or equal | 709 | 684 | $8K |
| 92015 | 1,386 | 1,383 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 46 | 45 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 170 | 162 | $1K |