NPI: 1346430378 · CARUTHERSVILLE, MO 63830 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,542 | $44K |
| 2019 | 1,950 | $40K |
| 2020 | 719 | $15K |
| 2021 | 229 | $4K |
| 2022 | 133 | $1K |
| 2023 | 18 | $35.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 923 | 854 | $40K | |
| 92004 | 615 | 572 | $27K | |
| V2020 | Vision svcs frames purchases | 1,049 | 979 | $18K |
| 92015 | 1,759 | 1,637 | $8K | |
| 92340 | 744 | 714 | $4K | |
| V2784 | Lens polycarb or equal | 275 | 126 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 65 | 37 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 47 | 26 | $1K |
| V2100 | Lens spher single plano 4.00 | 89 | 43 | $566.84 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 25 | 12 | $219.57 |