NPI: 1346422417 · CONNEAUT, OH 44030 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,067 | $35K |
| 2019 | 1,065 | $29K |
| 2020 | 992 | $24K |
| 2021 | 291 | $7K |
| 2022 | 692 | $18K |
| 2023 | 179 | $3K |
| 2024 | 186 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 457 | 456 | $39K | |
| 92340 | 1,197 | 1,171 | $37K | |
| 92004 | 345 | 343 | $31K | |
| 92015 | 1,305 | 1,272 | $14K | |
| 92341 | 24 | 24 | $854.55 | |
| V2020 | Vision svcs frames purchases | 489 | 481 | $0.00 |
| V2784 | Lens polycarb or equal | 503 | 495 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 140 | 140 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $0.00 |